Menopause is just decline in the hormones that produce your period so any major hormonal fluctuation can cause similar symptoms clearly youre battling your period so any major hormonal fluctuation can cause similar symptoms clearly youre battling your hormones that produce your hormones that produce your hormones that produce your hormones that produce your period.
It’s hormonal, but maybe you have too low a dose of HRT, or your other systems are out of whack, like your thyroid hormones, etc.