Dont know if I'm coming or going...need so help

[Chierrie]

Really dont know where to start...
I'm still having regular periods sort of..in January my period lasted 12 day then 67 without one..since then 20 to 28 day very heavy for 4 days or so.
I've been getting very hot (very red faced .. but not every day) keep waking up in the night and my anxiety seems more than normal and very low libido ( not like me )
I've been to the doctor and I've been given Evorel sequi patches.
I asked for patches as I've read lower risk of blood clots and so on (as I smoke)
The doctor didn't tell me when I should start them.
Should I wait until my next period?
Will my periods stop ?
Is it to early for my to start HRT ?
I'm 46 soon and my periods have been very heavy for about 5 years.
I dont know if I'm coming or going .
Really hope someone can give me more advice then my doctor has.

How can drs be so careless- not saying when to start something? it's unbelievable really.

Are the instructions in the pack?

Ideally you should wait till your next period so the HRT works alongside your own cycle, but it doesn't matter really. You may get 2 periods close together if you finish one HRT 'cycle' and your own cycles comes before or after it. This will settle down as your periods get further apart.

No it's not too early to start.

What about the smoking? Are you going to try to stop? It will make all your symptoms worse and your health long term. Not nagging you, but menopause is a bit of a crossroads where lifestyle is so important to the next 30 years of life quality and doing the right stuff makes a huge difference.

JinglingHellsBells thank you for your advice. I think I'm going to wait until my next period to start and then start the patches. (Been reading instructions over and over)

As for smoking.. I'm hoping to give it up again as I know it is the best thing for my health. I've been using my e cigarette more wicth is a start .

Hi OP. You are right I think that patches are a better delivery system. I had the Mirena coil fitted which totally knocked my at times horrendously heavy periods on the head and coupled it up with estrogen only patches. I also use vagifem for a dry fanjo.

It can be a really confusing time. There’s info on here, and also loads of advice here: www.menopausematters.co.uk/
There’s also a forum there.