I don't have a response, but I wanted to express my sympathy for what you are going through. I had awful, awful PMS for decades (I'm assuming your mood swings are PMS) and hitting menopause has been a great relief to me. No more mood swings! Given that for me the drop in hormone levels associated with menopause has improved my mental stability 100%, I'm sort of surprised that your doctor is recommending HRT to you. There is no way I would voluntarily go back to having higher levels of hormones in my body. However, I am no expert in this area.