Hello Jojo
I am so sorry you 're having a difficult time. I think going to the menopause specialist on Weds will be very beneficial.
I have been on patches for a year now and started on uteogestan in the beginning. Personally I did not get on with these and had a mirena coil fitted in its place. The progesterone part of hrt can be hard for many women to tolerate and may be an issue her for you. I would definitely encourage you to be very honest at your appt, and I agree it's a good idea maybe write a few ' pointer ' notes of your symptoms and any questions you may have. It easy to forget all this an any appt!
Mood swings have been none not the worse parts of perimenopause for me,and unfortunately many women on this forum. But it is very encouraging that you have posted on here, this forum is really big on support as well as practical advice. My moods are very much linked to my natural cycle, and I can get unbelievably severe moods and have begun a low dose of mitrazapine anti depressant to help with this.
Also it can freak the body out a bit altering a patch dose,some are sensitive to change. Again, like others I would as in your case, go from a 50, then cut a tiny bit off the 75 to give you about 62.5 and gradually built up to the full 75. Again, speak to your meno specialist.
Above all, as many remind me, we do come out of these dark places, and always post on here when you some virtual but or support. We all need that.
Take care