I suffer from what I think is anxiety, feeling nervous and shaky but not outwardly shaking. A few years ago when I asked my gynecologist about it, she actually felt it was due to hormone changes and after several different meds, we finally settled on Prozac and Estrace. I'm 53, perimenopausal, last period was 2 months ago. When I asked if she would continue to prescribe this or refer me to PCP, she truly felt it was hormones and if she felt differently, she indeed would send me to PCP. I've never had this before. Was given Ativan also for times when nervousness was worse. Now I'm out of Ativan, out of Estrace, and still on Prozac 40 mg a day, but nervousness is worse, every day, but not continuously. Last saw gyn in September and she did not renew the Estrace but did the Prozac. I called her nurse and was told I needed an appt. to talk to her to be sure it is hormones, otherwise will send me to PCP, since this feeling is worse. I'm confused as where to turn now, Don't know if I should return to gyn, or go to PCP. My gyn already knows my history of the anxiety but yet I don't want to go back to her only to be told to return to PCP, and vice versa. Any insight into this and where I should turn?