@Catsfrontbum I posted this for you last week.
I've been on HRT for 15 years. When I started it, practically no one was using gel or Utrogestan.
Utrogestan is a love/ hate drug.
The advice is after 3 months and feeling rotten, you work on the HRT.
Using anti ds is against NICE guidance and they too have side effects.
You can read about it here- medical site https://www.balance-menopause.com/menopause-library/antidepressants-and-menopause-factsheet/
The first step is to work on your HRT and get that right. You may need more estrogen, so not just 2 pumps but 3 or 4.
What I did, was use estrogen-only for 10 weeks, to get the dose right to control peri symptoms, before adding in progesterone.
To update this....
In peri menopause ( periods not stopped but may be infrequent even just 3/4 times a year) HRT should be used on a cycle. That's so many days of progesterone per month (s). This type gives a false period- a withdrawal bleed.
For post menopause, (no periods for at least 12 months) women can choose to use continuous HRT. (Both hormones daily.) This gives no-bleed. if this regime is used too soon (in peri) it can cause breakthrough bleeding. This can raise alarm bells with women being sent for investigations, etc etc. usually unnecessarily.
It's not a particularly good idea to use Utrogestan for 21 days if you are intolerant to it. That's a lot in a month! You won't get the benefit of no-bleed (you may still get a very light bleed) but you might get all the side effects by using it daily.
You'd be better using it for 10 days per month (that's a calendar month) OR doing long-cycle of 14 days every 3 months.