Hi. Menopause is literally, the last monthly period. End of. Peri-menopause is the years leading to that. Blood tests are reliably unreliable
How R your periods behaving? Do the sore breasts go when a bleed begins? If the symptoms are bearable with added pain relief if necessary, could you live with them?
How long have you been on the HRT it can take 4-8 months B4 the body adjusts.
Some find that keeping a mood/food/symptom diary of use. Ovaries keep pumping out small amounts of hormone for several years. Let us know how you get on.