Thanks very much to both of you, very interesting to see just how much people's mileage varies! I'm 2 years into the menopause, I'm using Evorel and Utrogestan - felt an immediate improvement in mood (mainly taking it for brain fog and mood swings, I've been taking antidepressants for years anyway and wasn't going to mess with them).
I wasn't given much advice, my GPs practice wasn't overly keen to put me on HRT at all, plus with all the post lockdown malarkey ...... I'll try for another phone appointment and hopefully discuss a different type, not prepared to put up with these spikes, especially as I'd smoothed them out by low carbing