I was you OP.
Please please start on hrt asap.
I was at breaking point before I started.
I was barely sleeping, horrible terrifying nightmares, impending doom, paranoia, anxiety, painful joints, racing heart, terribly self conscious about my looks, and I felt I was going mad and just couldn't cope with the most basic of tasks.
After a particularly bad night and sleep deprivation, I was crying down the phone to the Drs receptionist in the morning , begging to be seen urgently but was refused, then I called the MH crisis team.
Within 2 days of starting hrt I was sleeping, with 3-4 days the joint pain was less than half and the anxiety reduced by a lot.
Please be aware that it's not a quick fix to find the right dose, I still felt discombobulated for the first 3-4 weeks while my body got used to it, it took 6 weeks to finally feel normal, but that feeling was amazing. But it's the same with antidepressants, they make you feel worse til the 6 weeks mark.
I was tempted to give up during the first few weeks, I had a lot of benefits but there can be side effects while you adjust to it.
I felt worse because I was put on tablets instead of gel or patches, I didn't know but apparently tablets are the least ' kind' to start out on.
Please try it and please please persevere for 2-3 months at least.
The dose will probably need tweaking as time goes on to find your ideal combination.
Wishing you luck OP 💐.