I can't use Utro vaginally - it makes me very sore and uncomfortable. As you are uncertain as to whether you actually feel better with HRT or not, I would take a break from HRT once you have finished this phase of Utro to see how you feel. If you stop everything, even the oestrogen, at the end of the Utro stage and stay off all hormones for 4-8 weeks you then have a chance to really tell whether the HRT was making things better or not.
HRT cannot fix everything and one does have to have more benefits than side effects.
I took a break from 8 weeks at the beginning of the year and started on a sequi Gel/Utro regime 8 weeks ago. I have found that the withdrawal bleed left me feeling awful and I'm now feeling really shaky with terrible fatigue - I don't know if it's a virus or not but at the moment I do wonder if my body is simply not coping with the hormones - I am 60 and maybe it's time to stop??!!! DG x