I am feeling the same as you and I have been on the gel and Utrogestan for 5 months now and not seeing any benefits yet. My anxiety is worse, brainfogged, fatigued, low in mood, but I have a long history of anxiety anyway and I could be causing some of it myself through over thinking. I missed the odd Utrogestan and started to have a light bleed for a few days which stopped but the bleeding started again on Wednesday, albeit not a lot, but all the pmt like symptoms along with it and some cramping. I spoke with my meno specialist this morning and she thinks I should up the Utrogestan because of the now bleed and take the Utrogestan orally (which I don't really want to do).
I am at a loss as to what to do now and I wished I hadn't tried it to be honest. My meno specialist says if I come off it to cut down the pumps over a couple of weeks and then stop the Utrogestan altogether but she said there wouldn't be any side effects and I have read there could be. I am scared of what to do currently