Hi! Who is over seeing your HRT prescription? MayB ask for an app to a dedicated menopause clinic, either NHS or private: there are waiting lists for both.
In the mean time, keeping a mood/food/symptom diary may be of use.
Your GP could refer you to an appropriate consultant for an update on treatment for your what sounds, a very painful, condition! Treatments are improving all the while so it's probably wise to be seen regularly.
U could see a physiotherapist interested in womens health too regarding the pelvic floor. Let us know how you get on.