I'm 42 and I have been anxious in regards to HRT, so glad I have found this forum, I have been reading it for the last few days. My peri menapause started with my underactive thyroid, the symptoms were so bad with the underactive thyroid and I had lost my appetite I just assumed my periods stopped with that. But I went to the doctor last week and I am actually in menapause, so I was given evorel conti patches, and due to the amount of information, I'm happy to take them, what I'm not so sure about is the Vagifem, bit more weary about these due to the after effects. Is evorel effective and should i avoid the Vagifem?