Hi,
I to am peri menopausal, I started HRT last January taking 1 tablet of utrogestan and 2 pumps of Oestrogel, i was fine for a while then my symptoms came back which was awful then the utrogestan was increased to 2 tablets for 14 days it was then i noticed something wasn't right my anxiety and mood swings was of the chart i went through an awful time.
I went to see a private gynecologist who specialises in the menopause and it appeared that my body was super sensitive to utrogestan and advised me to have the marina coil. I had this fitted on the 6th April and within a couple of days i felt calmer and was able to get a good night sleep, it took around 6 weeks to settle although i just really had bad period cramps on and off, i now take 3 pumps of Oestrogel in the evening and finally (touch wood) i am in a good place! i know its not for every but for me was the best decision i made.
Hope this helps x.