Epilepsy and HRT

So I have epilepsy that’s sensitive to hormonal changes since I was a teenager.

I had hysterectomy surgery two years ago (left my ovaries in place) for uterine cancer and fibroids.

Now suddenly my bloodwork hormone levels are higher and my OBGYN is suspicious of perimenopause even though I just turned 40.

I’m surprised because my mom and aunt didn’t naturally enter menopause until they were in their 50s. I’m wondering if my surgery sped things up, which if true really depresses me.

Now I have to consider HRT; but that’s precarious because it can lower my seizure threshold.

Has anyone had luck with any low dose of HRT estrogen such as vaginal suppositories or the patch for example?

I’m so emotionally and physically drained at the point that I feel like giving up… 😭