I've been on HRT since October. I'm 45 and 3 years into 'it' (menopause!).
I've been feeling kind of flat and meh even with the HRT. I haven't been exhausted, but I also haven't been jumping for joy and full of energy or motivation for much. I went to my consultant to ask about testosterone for low libido. She said to have some blood tests and we'd go from there.
Long story short, blood tests showed that despite using 2 pumps of oestrogel a day, my oestrogen is still really low - like under 100pmol/L (when the normal range is 77 - 2400).
She told me to up it to 3 pumps for 6 weeks and have more blood tests before she'd go with the testosterone.
5 days of 3 pumps and I'm like a different person. I've been to the gym every day, yesterday I was swimming and felt SO GOOD that I kept going for an hour. I've smiled, I've danced, I've slept better... and excitingly I had the first fleeting glimpses of 'the horn' yesterday. Couldn't work out what it was, so long has it been missing!!
So, oestrogen increase for tiredness?