How long is this going to go on?

[IrritatedUser1960]

Had the menopause for nearly 11 years now since 45.
I've been on HRT all that time and attempts to come off it have had all the symptoms raging back, well I'm fine on it for as long as necessary but now even on HRT I am having horrendous night sweats again, wake up boiling and soaked.
Not sure if this is becasue I've put on a lot of weight recently so obviously there is more of me for less HRT, a side effect of duloxetine which I take for sleeping as I lie awake all night otherwise worrying about things, break through menopause or what?
Should go to the doctor really and go on a diet to exclude these things but I'm so exhausted afetr beng awake all night and working in the NHS all day I just can't seem to get going.
Does this nonsense never end?????

I think you ought to ask for a referral to a specialist. Have you never seen one? What reason was given for your POF? Some women never ever get rid of the symptoms (I'm told my by specialist) and therefore choose to use HRT for life.

You had a premature menopause at 34- that's almost 20 years before most women. The medical advice is you keep on HRT at LEAST to age 52 (age of average menopause) and it's quite likely that whatever dose you are on now is not enough.
There is some evidence that overweight women have worse symptoms but also that exercise helps meno symptoms. So if you aren't getting any moderate exercise 5 x a week, you aren't helping yourself.

Do you know what is going wrong with your food intake? Snacking? Eating too much sweet stuff? Portions too big? Alcohol? Comfort eating? Try to tackle your weight and see someone about the HRT dose.