If you paid for a saliva test, the result may well be what the Company wants it to be, do they sell products?
Some find that keeping a mood/food/symptom diary of use. Peri-menopause can last for 10+ years B4 the last monthly period = menopause. Symptoms may continue after periods ceases due to the ovaries still pumping out small amounts of oestrogen.
Vaginal atrophy requires different HRT than over-all meno-symptoms though some do require both. How often are u using the Vagifem?