Hi Mazza, your the same age as me & I'm new to patches. I also get or got pretty bad anxiety about 14 days before periods, dizzy spells, fatigue but only got pains every other month.
Took awhile for me to feel effects of HRT but i feel much better.
I did notice today that i had PMS symptoms of fatigue, muscle aches, mild anxiety but mood stayed ok.
I am on progesterone & i do better on than i have done previously on estrogen. I have noticed though my physical symptoms before period has worsened since being on HRT but mental symptoms have improved. My periods are regular.