Hi pinkjan4288, I'm peri and 42 years old, had the same lack of understanding with my gp, but was refered to the nhs meno clinic.
I'm on sandrena estrogen gel and utrogeston for 12 days per month, but I'm all over the place, mainly depressed, and it's really tough at the minute. I think that's because hrt is adding to my hormonal highs and lows, and making everything more extreme.
Sometimes I question if im any better off, but I'm worried if I stop HRT it could affect my bone density and my symptoms could end up worse, so it's like I'm in a no win situation. I'm going back to the memo clinic to discuss options, maybe even returning to the pill.
So I would ask about how adding additional hormones might affect you when you are still producing your own, and the best way to manage this. You seem to know your cycle well, and it might be that you can use this information to adjust your dosage...? Is the pill an option for you? Some other ladies have suggested that to me on here... I tried that first before hrt but I didn't get my libido back and still had some other symptoms so switched to hrt...but it might be ok for you?
Good luck! X