Hi there. I'm perimenopausal and had a lot of anxiety and palpitation-like symptoms before I started HRT. It took a bit of experimenting but my symptoms reduced massively with a combination of transdermal estrogen patch and continuous utrogestan. It's been good for months now. But in recent weeks I've taken a turn for the worse in terms of mood and anxiety. I thought this was just things going on in life, but for the past three weeks I've started getting more palpitation-type things again which feels very familiar and similar to what I was getting before. This made me wonder whether my HRT regime is working as well as it was or if I need to get it tweaked. I am trying to get an appt with my specialist person and will ask but trying to research a bit beforehand.
Did you find you needed different doses at different stages of peri versus post menopause? Did you find the regime needed changing during perimenopause?
(By the way, when I was looking up estrogen doses between the patches and the creams I got quite confused. When people talk about pumps, I've no idea what that means in terms of dosage.)