Have you ever been on Dutasteride or Finasteride? It would also be helpful if you listed, without dosages, all medications you take.
From the symptoms alone, not knowing your medication history, I can't help but mention the similarities from what you describe with the side effects of inhibition or other problems with the 5AR enzyme.
Brain fog and anxiety, relating to hormones, indicate among other possibilities abnormal levels of certain neurosteroids like THDOC Allopregnanolone, both of which are inhibited by drugs like Dutasteride and Finasteride and can remain irregular post discontinuation of therapy.
Please give a reply with your medication history.
As I said, I'm not a doctor, but if I can I'd love to help maybe give you some advice into what direction to look at seeking medical support in.
This is very likely a hormonal problem, like neurosteroid biosynthesis inhibition.
If nothing else, I hope I can give you some assurance that the brain is a very adaptable organ, I've seen a lot of people who've messed up their neurochemistry with drugs (the recreational kind, usually designer drugs of which little is known about), who thought they'd done permanent damage after they stopped using, and over a period of times, sometimes longer sometimes shorter, got back to normal.
Have you had any improvement over the period of time since your SRS?
Hope any of this helps. Try to remain optimistic, it may well be that introduction of higher estrogen levels will help resolve your symptoms.