Started HRT - anxiety back & period very late

[SameKeyThough]

Sorry if this is a bit long and rambling but I would really appreciate some advice.As a bit of background, I have a history of depression and anxiety, and have been taking ADs for nearly 30 years (I'm 49 now). My worst time mental health wise was pre and post natally, when my anxiety was severe and I spent some time in hospital. Fast forward 13 years and again my mental health took a turn for the worse about 3 months ago. I had no other peri symptoms really (night sweats around my period) but as I was again very mentally unwell and in hospital with panic disorder. I (and a variety of health professionals) decided that in addition to increasing my AD I should start HRt. I arranged to see a private menopause specialist who was fantastic, and recommended that because I may be more affected mood wise by progesterone I do one month of just estrogen (estradot 50 patches), and then for my second cycle add in the utrogestan days 15-26. So I started the patches on December 7th, as soon as I got them, as my period was due in the next couple of days. That was simple enough. Not sure whether the estradot has helped with my anxiety over the past few weeks as I have also taking a variety of other psych meds, but a week ago I was feeling much, much better. Unfortunately yesterday my anxiety returned and I'm not sure why. I'm wondering if it may he hormonal. I am very overdue for my period (not pregnant!), my cycle is normally between 25 and 28 days, although I have had a couple of longer cycles in the past year. I'm now on day 37. I had night sweats last night, bad physical anxiety and what felt like slight cramps this morning.
So I have 2 questions really - do you think the overdue period could be affecting my anxiety, and what do I do about starting on the utrogestan this month if I don't get my period to count as 'day 1'..
Any advice or help really appreciated.

Hopeful bump!

I’m very sorry to hear your anxiety is back @SameKeyThough. So horrid, when you thought it had gone but it can take HRT a while and you’ve not been on it that long.

Sorry I don’t really know the answer to question 1. It is possible that it’s related.

It might be helpful to download the balance app (the menopausal one by Dr Louise Newson not the balance mediation app that I mistakenly did first time round 🤦🏻‍♀️😂) to track your symptoms.

I think it’s important for your womb lining to start the utrogestan soonish. I’ve only started HRT this week and yet to take Utrogestan but I plan to take it on my due date whether my period comes or not.

Although that date has passed for you, it might be good to take it tonight (or tomorrow night). I’ve read on other threads that some women start a HRT cycle when their periods are irregular. Or you might want to wait for a few other responses.

Hopefully it will make you feel sleepy (which I’m hoping will happen to me too)

Try and relax, have you any techniques to reduce the anxiety?

Ps sorry I made mistake, I meant day 15 of the cycle not the due day. I shouldn’t post when I’m tired 😴

@Periperinotchicken thank you so much for replying. I actually had an OK night and have woken up with less anxiety so hopefully was just a blip. Scary though as I've been so unwell. I think you may be right about starting the utrogestan, at this rate I'll never be starting otherwise. I haven't been using the balance app but I do have access to something called Peppy through my husbands work which has lots of advice and menopause nurses available to answer questions so I have messaged them. I think I will download the balance app too.
Thank you again.

I’m pleased to hear you had a better night @SameKeyThough

Just to say the app doesn’t have access to any nurses etc but it has a function to monitor your symptoms (so that you can see if it’s linked to a late period) and lots of articles on peri/menopause.

That’s so good you can use the support through your husband’s work, I hope it will be helpful. Good luck 🤞🏽