Hi Shell,
Sorry you are going through such a rough time.
I had the same op when I was 38 and now 43 and still haven't found the right balance despite trying virtually everything. I know just what you mean, a lot of the time i feel about 90, and it doesn't matter how much i increase oestrogen it doesn't make me feel any better. I was just googling about adding progesterone when I saw your post
The menopause clinic I went to said I could try tibolone if I really wanted, but that it wasn't really strong enough for younger women?
My first 2 months on it I had a lot of headaches and nausea but it did work for libido in a way that no other hrt has,but it also made me feel very strange and wired, and unable to sleep properly, so I felt wired but exhausted all the time.
the headaches and nausea subsided but sadly so did the positive effects and 5 months in I've quit as I feel worse than before, just 1 stone heavier
Last 2 months I tried doubling the dose and adding some pumps of gel but it didn't do much. However its definitely worth a try as some people have amazing results with it, but for me it just seemed to stop working, although this could have been my estrogen levels dropping after coming off quite high estrogen prior to Tibolone?
I'd be really interested to know if adding progesterone would help people like us feel a bit more balanced, and what would be the best type to try.
Good luck with your appointment and do post how you get on