I have been on a low dose of Premique for about 4 years now, and for the last few months have been feeling awful. I feel lethargic, and I suffer from joint aches,low moods, no motivation, and stiffness of joints. I am not over weight, in fact I have little appetite. Should I be feeling like this? I started the menopause when I was 50 years old.

HRT is supposed to stop or reduce menopause symptoms, so if you are getting all these symptoms now it is important to go and let your doctor know.

It may be that this form of HRT is no longer working for you but these symptoms can also be caused by other factors, such as low iron, low thyroid, and low vitamin D. Your doctor can also test for these just to rule them out.

In the meantime, you may find a gentle tonic such as Floradix helps to boost your system. You can get this from most healthshops.

Eileen Durward