That phrase 'used to be fun' breaks my heart for anyone who feels like that (I certainly did/do). And the crushing symptoms....sending you loads of good vibes.
I have tried all forms of HRT and failed, but I am ready to go again with something (got osteoporosis). You have to be careful with the terminology...I have looked at:
1. Conventional (Premarin horses wee etc. - do they still prescribe that?)
2. 'Body-identical'
3. Compounded 'bio identical'.
All are available from conventional doctors but the last (3) has to be a private thing. I went to the Marion Gluck clinic - they're brilliant. They will prescribe oestrogen, progesterone and testosterone from the start if needed. Even DHEA which is the only thing that works for some. All transdermal if you wish - no tablets or vag approach for the progesterone if you don't want. Expensive - yes but I am happy to invest in my health (and I'm quite boring as I don't drink, smoke or whatever
)
I tried Louise Newson's clinic also (body-identical) you can't see her in person any more but you can get one of her associates (all brilliant). They are less flexible and have a set of protocols. You can't get testosterone until your oestrogen has reached a certain level for example even if it would make you feel better.
The 'compounded' hormone treatment is argued over. It's a prescription personal to you. Many doctors think it's great others say 'there is no evidence'. When any doc says 'no evidence' it doesn't mean tested and found not to work, it just means 'we haven't done the trials we consider appropriate. Lots of controversy but you have to do what's best for you.
I could go on (no don't I hear you all say!) but you need to decide whatever you think is best. Good luck!