Firstly, unless you have a family history of premature menopause
, you can in no way be perimenopausal at this age. Secondly, it looks like the hormonal
supplementation is not sufficient to induce a withdrawal bleed and thus the spotting is seen. Perhaps you would need a cycle or two of hormone therapy
to attain a good balance for future treatment. Please contact your infertility
specialist for further suggestions. Hope your query is answered. Take care.