Your GP needs a
as well as head putting down the loo and handle flushed.
.
what you describe is vaginal atrophy. Which your GP should be aware of but sadly, many have no idea. One doesn't have to be dry to have the start of VA.
How much blood do you lose - this may also be the reason for the unpleasant sensations. What ever, you need a good moisturiser - have a lookC at the 'sylc' and 'yes' websites. I would also ask for appropriate VA treatment to try for 6 months to see if it eases those symptoms.
I would also go back on the Femostan as you had a good result. Swapping HRT risks throwing the body into turmoil - 'replacement' - it can take 6-8 months B4 the body begins to uptake some regimes to ease symptoms. Some keep a fan by the bed to cool down in the night. Also a 'chillow' pillow might help?
Perimenopause are the years prior to the menopause which is literally, the last monthly period. However, it doesn't work like that as until we haven't had a bleed for 12 months we can't be certain. My periods waxed and waned for several years. Would miss months then hey presto! back again. At least the dreadful pains with flooding disappeared.
Brows round. make notes ;-)