Have you tried other ways of getting estrogen? Not all the methods work well for everyone, and sometimes it takes a little trial and error to find the right method for you.
For example. I tried the biest cream, and I just wasn't able to absorb it the way I needed to for obtimal benefit.
My pharmacist switched me to a troche and it has worked very well for me.
Hot flashes are caused by fluctuatin hormones. It doesn't necessarily mean that you have either too much or too little, just that they are fluctuating. The anxiety can be caused by caused by a few different things. I feel anxious when my estrogen is too high, or if it drops too low.
Some women are able to feel better with a little progesterone added to their mix.
Have you spoken with your Dr and pharmacist? What do they say? I was just looking back over some of your past posts, and you seem to have other medical issues that may need some special attention with regards to HRT. Sometimes when we have other medical problems, it takes even longer to find the HRT and dose that works best for us. I have been working towards balance for about 2 1/2 years, and I think
that I may have finally found it.
Do you allow yourself 6 weeks before any change or tweaking? that is also very important.