Hello, I have gone through the query and understood your concern. Considering your age, and also because of your neurological condition, it is better not to go for any further hormone supplementation. To deal with hot flushes, you should always use loose fitting clothing preferably made of cotton material, practice breathing and relaxation exercises thrice a day, see that your surroundings are comfortable and cool and avoid stress. To deal with vaginal dryness, you can use K-Y jelly before intercourse to improve lubrication. This prevents the bleeding tendency. If you are on anti-coagulants, this could be another reason for the increased tendency to bleed. Hope your query has been answered. Wish you good health.