Hi, I've been on HRT ten years, 2 pumps estrogel, utrogestan and testosterone . I wasn't feeling great for some time and the doctor said this could be because of the constant fluctuations of hormones and changed my sequential routine to continual over a year ago. As I had breakthrough bleeding whilst on the continual routine almost daily, she suggested a try a Mirena coil instead of utrogestan. I have had the coil in 7 weeks which I know is early days but I am having some issues with sleep - waking up at 3/4am, broken sleep throughout. I think this is the biggest issue and is likely causing the other issues of hunger, anger and fatigue. I also have sore breasts, fuzzy headache and still have breakthrough bleeding. I am going to persevere as I know it does take time to settle but really just wanted some reassurance that others have felt like this and it will eventually settle. I know they say give it 3 months when changing your routine but 3 months is a long time to keep having to wait to feel better when it's been going on for sometime now. Thanks in advance for any feedback, it's appreciated.