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Menopause

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Should I start HRT

4 replies

L0309 · 09/05/2026 16:59

Hi all,

I’m 41 and over the last year I feel like I’ve become a completely different person. I’m exhausted all the time, my sleep is awful (waking around 3am most nights), my anxiety has gone through the roof and I’m finding it hard to cope with even normal day-to-day stress. I’m also getting brain fog, random crying spells, low mood, irritability and just generally not feeling like myself at all.

My periods are still fairly regular but definitely heavier and more unpredictable than they used to be. I also get awful PMS now which I never really had before. Some days I genuinely feel like I’m losing the plot.

I’ve been reading about perimenopause and so much of it fits, but part of me feels “too young” for HRT and I’m worried I’ll be dismissed because I’m only 41. At the same time, I can’t carry on feeling like this because it’s affecting my work, relationship and confidence massively.

For those who started HRT in their early 40s — did it help? How long did it take to notice a difference? And did anyone else struggle with anxiety/mood symptoms more than hot flushes?

I’d really appreciate hearing honest experiences, good or bad. Feeling quite overwhelmed and alone with it all at the moment.

OP posts:
Lizzbear · 09/05/2026 17:10

Could you get your hormones checked at the doctors. I was 47 when I started HRT but it’s not unreasonable for you to get advice from your doctor about testing for oestrogen levels etc

afromom · 09/05/2026 17:19

I’m 45 and just about to start. I have had similar symptoms to you with no hot flushes. I also thought I was a little young, but the lack of sleep and changes in mood are driving me crazy. Luckily the anxiety is more managed for me as I take beta blockers for a heart condition which has the welcome side effect of also controlling anxiety. I would go to your GP and ask for their advice, mine has been fantastic. In terms of testing your hormones, as I am on the pill my GP said there wasn’t much point as that would mess with levels anyway, but if you are not on the pill that could also be an option.

ProfessorBinturong · 09/05/2026 19:24

It may or may not be perimenopause, but something is causing it - so see your GP.

AlocasiaPolly · 09/05/2026 20:06

I'm also 45, I picked my first prescription up from the chemist this week, I'm just waiting for my period before I start it. I've had symptoms since I'm in my late 30s, but, like you I thought that I was too young for HRT and wouldn't be taken seriously. But I wish I'd had that conversation much sooner.

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