Make a list of your symptoms. Which would you like to ease first? Do you keep a mood/food/symptom diary to chart progress?
If you have VA which is being treated but nothing else then why would your GP offer HRT? Most won't consider HRT unless a lady is complaining of hot flushes, aches and pains ....... some may offer ADs as some do help anxiety in menopause.
Anxiety may be hormonally linked. How were you during your mensturationg years? I had PMS badly in the 10-14 days prior to a bleed. I would also cry the night B4 even if a period wasn't due. Sure enough the next morning
![Angry >:(](https://www.menopausematters.co.uk/forum/Smileys/extended/angry.gif)
. Oh how I hated them. So I knew that any weepyness would go once the period began. So yep it was hormonally linked. Overall though, anxiety began 4 me at age 3 and has continued.
As oestrogen level drop so the body may become dry: inside and out
![Shocked :o](https://www.menopausematters.co.uk/forum/Smileys/extended/shocked.gif)
- skin, deep n the ears, nostrils, skin, vagina ...... as well as muscles may become lax = aches and pains. For me it has been itchy insteps, OK in the day but as soon as I step into the bath. I wake in the night with one [ruff] heal scratching the opp instep
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
. Various parts of my skin also get dry so I use 'vaseline' body cream in the yellow bottle.
Deep in the ears, not helped by allergic rhinitis
![Angry >:(](https://www.menopausematters.co.uk/forum/Smileys/extended/angry.gif)
. My GP recognised my VA long B4 I did ........
Let us know how you get on. As roseenglish says, it's trial and error
![Sad :(](https://www.menopausematters.co.uk/forum/Smileys/extended/sad.gif)