Tibolone/ Livial not working

hello, im a 32 year old female, who has had one overy removed due to cancer. my periods stoppe d a year ago and since i have been super moody and not sleeping right. my hormone levels are low and my dr says im pre menopause. i was on patches for 3 months, notice no change and their was no change in my labs. i am now on Tibolone / Livial for the last 5 weeks and have not noticed any changes. how long did it take to work for others ? i feel hopeless at the moment and i cant keep going on like this. im eiter sad or angry 99% of my day I do all i can (non medical based) to help, i eat good , walk 20,000 + steps a day and recently started going to the gym.

HRT can take up to 3 months to work properly.