Premenopausal, anxiety, taking Prozac and Estrace.

Age 53, not menopausal, but have some problems I blame on  hormones. A few years ago when I asked my gyne if these could be related to hormones, he said if I was still having monthly cycles, I do not have a hormone problem.  I've since started seeing a new gyn and when I asked her the same question, she said I could still have hormone problems, however producing enough estrogen to have a menstrual cycle but not enough to prevent the other problems.  My biggest complaint is a feeling of nervousness.  I asked by new gyn about this as well as hot flashes, heart palpitations, and what I could do for it. Wwas hoping for herbal meds but those pills are too bit to swallow. She said some patients  opted for a prescription med and I did too.  She gave me an antidepressant for "premenopausal anxiety".  I've tried several and either had side effects I didn't like or they didn't help.  Finally, she gave me Prozac and a small dose of Estrace.  The anxiety is better, hot flashes are worse, and I'm starting to feel depressed, never felt like this before, could this be caused by the Prozac or due to premenopause?  I'm only on 20 mg a day and may increase since she's out of town this month, and I just ran out of the Estrace. She said she may change the Estrace to a different hormone but didn't want to do it at the same time as starting Prozac.  Are these a good combination, would it hurt to increase Prozac to 40 mg daily?

[jones4]

A related discussion, IS 40 MG. ENOUGH TO CURE ANXIETY was started.