thanks for using health care magic.
Menopause is likely to cause these symptoms but as you are on hormone pellets for 2 years, you should rule out vitamin D deficiency, or Vit B12 deficiency, or anemia.
Once these physical causes have been ruled out , you should consult psychiatrist
for detailed evaluation and treatment. you might be benefited with sertraline or fluoxetine.
, stress management
might be helpful to you.