Agree with others that you have a busy routine which, combined with the induced menopause, would be impossible for anyone.
I disagree completely regarding the cleaner. If you want a good cleaner, who does what you need, you can absolutely find that person. It may take paying a bit more or a little more effort in the beginning to find someone but it worries me that you think it can't be done.
Personally, I'd be looking for a cleaner/housekeeper who would come in at least twice a week, if not three times a week, and who would do day to day tidying and cleaning, regular "deep cleaning" (I'm guessing that's a thing for you), washing, ironing etc. Perhaps shopping or, at the very least, take delivery of online shopping orders. Possibly any other chores that need doing such as collecting prescriptions, dry cleaning drop off/pick up etc.
And/or consider: devices such as a robot vacuum/mop which can be left to vacuum while you're out; a washing delivery and collection service that collects, washes, dries, irons and returns your washing at set times each week; meal delivery which can be Gausto style where you cook it yourself or pre-made home cooked meals that you just have to heat up.
Also, you need to get your DH more involved. eg, perhaps he can be in charge of food at least some of the time. If you insist on everything being done your way, you are going to lose any opportunity to get his help. And to be quite honest, this could then go on to be a problem once you do have a baby.