Good post Samade -
Janetilett - It is quite normal to feel this way when meno hits and, as Samade has said, using ADs will depend on how desperate you feel during these down times. I'm afraid it is often about finding strategies for coping with this until you regain some confidence. Mindful Meditation, plenty of exercise e.g. brisk walking, can really help.
ADs can help but they can also bring unwanted side effects and make you feel detached or numb. Having said this, many find ADs work wonders and they get their life back but it can take a few weeks for things to improve.
HRT should still be an option - one clot during pregnancy may not be a good enough reason for not trying hormones. A referral to a meno clinic or gynae might be a good idea. DG x