I was misdiagnosed as being menopausal for four years. No one would listen to me. I love my gyno but she doesn't know lyme and alot of the symptoms are the same. However, I knew if this was menopause there would be alot more suicides. I am on HRT patch. I think my hormones were totally out of whack from the lyme. my estrogen level was non-existent so the patch was good for obvious reasons. Even though gyno swore I was postmenopausal, my period has come back now that i have been on antiobiotics for 8 months, even though dr. says ovaries are tiny. I think lyme affects every single system so strongly that it throws everything out of whack. I am just very fortunate for as crazy as I was going with symptoms, that I did not get as bad as some others. I do think adding hormones back into the picture does help the body deal with that aspect anyway.