Sorry, I still don't really understand what the problem is. In your original post you said of the first HRT regime you tried:
'WOW - this changed things significantly! Almost within a week I was sleeping, no hot sweats and felt happier. However, I didn't welcome the bleeds and felt the pessaries and gel was laborious and messy.'
Did things then deteriorate? Otherwise I'm just not getting it - putting up with a monthly bleed and a bit of mess, sounds like heaven to me if it sorts everything else out. I must be missing something, sorry if I'm being difficult....