HRT doesn’t seem to make any difference to the tiredness ( to me anyway)
Sadly it didn't to me either. I was reluctant to try it but in desperation decided it was the right thing to do. It did absolutely nothing for the exhaustion and the progesterone part made me feel much worse. I stopped after 3 months and felt much better but still didn't sort the tiredness.
In my case, I know it is because of poor sleep quality. I sleep 8 hours at night, but it isn't restorative sleep. I don't go in that slumber sleep I used to and wake up as knackered as when I went to sleep.
I know that's the issue because the rare week I get better quality sleep, I suddenly get a hint of what life used to be like before the menopause and it is heaven, but as I get used to it and start to feel human again, it hits me again, sleep is poor and I'm back to survival mode wondering each day how I'm going to make it to the end of it.
It's hard to cope with, but the hardest part is facing other people who only see a grumpy, miserable and stupid person as memory is shot, as is ability to concentrate, respond quickly etc... unless you go through it yourself, it is really hard to explain that it is the fatigue that turns you into that person, it's not who you are as a person.