Hope is not a Strategy- It looks done

[SciDad]

She is going thru pre menopause and has had a tough time wiht it and is up and down alot

Do you mean perimenopause - the transition toward menopause? As far as I know, premenopause is pretty much just PMS.

I think you have no option but to go LRT. There's a reason it's a last resort, and I think you're there right now. I haven't used it, but I want to warn you that it looks hard. Post here often to stay on track - you absolutely need to stay consistent for it to work. Half-a$$ed ain't gonna cut it.