Ladybt28, thanks for your comments and sorry to hear you are suffering too, it's crap isn't it. yes you're right, I'm on the young side and peri meno so my own hormones are up and down, so there are times when I have surges and dips, with hrt on top of that, I don't know if I'm coming or going.
I've done a lot of research on the biology of all this yesterday plus reflected back on my own symptom diary and I've come to the conclusion that I personally possibly need a little less Estrogen and slightly more progesterone than the oral 100mg was giving me.
I think what I'm going through right now is really severe pmt (caused by my own rampant fluctuations and the HRT Estrogen on top with not enough Progesterone) and that I will have a natural (not utrogetson-withdrawal) period at the start of December... we will see...
I'm thinking if I reduce HRT to 1 sachet of 0.5 sandrena gel per day, and use the utrogeston as a pessary (effectively doubling the efficacy) I might even things out a bit, giving me enough of both not to send me too far either way... I've made an appointment with a gyno in any case and will float this idea to them, see what they say.
The other interesting thing that I read about yesterday was supporting your body to get rid of any excess Estrogen (if it needs to), as much of it it stored in fat and reabsorbed in the bowel, so it ends up building up. I didn't realise this until yesterday but too much Estrogen can wreak havoc and cause the similar symptoms as not enough.
So I'm getting some milk thistle, magnesium and flax seed to support my liver and bowels. I already take B vitamins everyday, and sea kelp to support my thyroid. Whilst I'm no doctor and don't claim to understand what's going on inside my body, especially at the minute, I want to help myself as much as poss.
There are supplements etc that you can take to help you to produce testosterone - Vitamin D is a major one, I take it as an oral spray, tastes minty... you may be deficient especially at this time of year most people are due to a lack of sunlight...just a thought.
Good luck
![Undecided :-\](https://www.menopausematters.co.uk/forum/Smileys/extended/undecided.gif)