Hi Snowbell, Yes it's bio identical. I use oestrogel 2 pumps one on each arm after my bath and Utrogestan pills for the first 12 calendar days of the month. I started bleeding again days 7 or 8 of the Utrogestan until days 14 or 15.
Mine started odd nights couldn't sleep then a couple of years later waking after a few hours.
Then complete insomnia at first I just thought I'd use the extra hours for myself quiet things making cakes etc.
But it soon starts affecting everything you do.
They gave me all sorts anti depressants anti psychotics, anti histamines cough medicine, always saying this one helps with sleep that one will help.
I tried (you could give some of these a go because they work for some people) valerian root, magnesium, 5htp multi b vitamins melatonin. I gave up caffeine, tried not to smoke a few hours before bed. Tried cannabis occasionally alcohol (I hate being drunk or drugged but things got very desperate)
Zopiclone gave me a disgusting metallic taste in my mouth which worsened to almost unbearable by the early hours.
Diazepam worked but only for 4 hours. Lorazepam the same.
Temazepam works but I'm now so used to it I have to take twice the dose so they don't like me having it.
Alcohol worked but I just seemed to need more and more and feared becoming an alcoholic. I don't really like alcohol luckily. Cannabis made me paranoid.
I had got used to it and asked for HRT because after 2 years period free I was just so hot I had no libido and vaginal dryness so bad it felt like razor blades if I had sex.
So I was gobsmacked when my depression and anxiety lifted this year I had the best Christmas in 10 years. Also 8 nights of perfect sleep did wonders. Improved libido dryness and being too hot all the time.
Discussing with my husband if there is any way I can see a meno specialist if my doctor is not happy to try tinkering with dosages. This is easy to do with oestrogel you could use another one or two pumps and still take the same amount of Utrogestan.
I'm at week 15 on it so still quite early days but I so wish someone had thought of trying me on it years ago when it first started.
I've had a few other improvements, some but not all aches and pains, nausea and a horrible taste also the constant loo trips, these do come on occasionally but more like early peri they come and it's not long until I feel ok again.