Hallow Dear, I have gone through your detailed history and fully empathize your sufferings.
Did you have lot of bleeding immediately after the delivery? Some times due to that, some endocrine glands get affected leading to menopausal symptoms.
Now that you have been diagnosed menopausal, the immediate goal is to relieve you from the symptoms from which unfortunately you are suffering over last 4-5 years. You can get relief by
Hormone Replacement Therapy.
The question is whether you opt for BHRT or HRT. Many International Menopausal Societies have stated that there is a lack of evidence that the benefits and risks of bioidentical hormones are different from well-studied nonbioidentical counterparts; until such evidence is produced the risks should be treated as if they were similar. A major safety concern in bioidentical hormone replacement therapy is that there is no requirement to include package inserts, despite the potential for serious adverse effects (including life-threatening adverse effects) associated with HRT.
When you are on whichever type of HRT, you are not only getting rid of your symptom, but also trying to recoup the deficiencies created in the body due to Oestrogen deficiency; i.e.
Osteoporosis.
However, I would urge you that you start taking HRT only on Gynaecologist advice. And further more be very much conservative and discriminative about how long to continue this therapy. Long term HRT do have ill effects on some organs with risk of cancer to certain organs like breast.
Monitoring after HRT is of utmost importance so also is many investigations to declare your suitability and safety for this treatment. Please undergo all the tests, rule out the history of malignancies of organs like breast,
uterus in your family and then only opt for HRT.
Please understand that HRT is not to be taken casually and empirically. Gynaecologist's opinion and follow up is mandatory.
It is very difficult to include all the details of pros and cons of HRT or BHRT in such a short space. However, I have provided you some guidelines. I do agree that you are one of those who do need (B)HRT; however, take it scientifically under supervision.