All through the menopause your hormonal balance can fluctuate tremendously and things such as stress, illness, physical exhaustion, or diet/lifestyle, can put added pressure on the body resulting in a change or worsening of symptoms.
It could be that your HRT is no longer helping enough and your symptoms are 'breaking through'. I would recommend that you go back to your doctor and let them know.
There are various forms of HRT and it may be you need to review your situation now.
Eileen Durward
Do you have questions? Please feel free to ask.
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