Hi Sophie;
I have posted about this before. I think you should make an appt with your endocrinologist and check your hormone levels. What I have found a couple of times is that your body gets used to the dose that you taking. I stated off very low. Then the body over time starts building up a reservoir of oestrogen, but you get periods of self doubt, tiredness and dysphoria break outs. When I spoke with my endo, she checked my T levels and found that my levels were starting to climb again, not too much but enough to create a Dysphoria break out. My endo was aiming for a situation where my T Levels were under 2.5. I started at about 5.9 which is very low for a male. Unfortunately I can't discuss the dosage I am on, but I do take Progynova twice a day only with no Blockers or Progesterone and now my T levels are down to 0.9. I am not getting any more periods of self doubt and I am feminizing very nicely with nicely rounding buttocks, 44B+ breasts and a slowly emerging waist. I just need lot ose 20kgs in weight (dieting and exercise). My endo reckons that my levels are pretty good and she tells me that now after 24 months on HRT I am hormonally now female with very little T production. I am also on the cusp of male fail in that male clothes look very strange on me, but when in a dress or skirt, even women's skinny jeans or womens tight shorts, i look pretty good and pass pretty well. This has dramatically increased my confidence levels. But when I got the self doubt sessions, I realise I was having a break-out and knowing the signs asked my endo to agree to give her permission for an increase on my Oestrogen. Within 4 days I felt a whole lot better!
