Menopause and was prescribed premarin for comfort

Hello, ok where do I start? I have never written in a discussion before, unless for school. I am 49 years old and have perimenopause. First off, I had a lot of female problems growing up since I started my very first period. I had a very heavy flow, and then I had fibroids that covered my whole uterus, and I had to have a hysterectomy in 20212. Now I am at the beginning of menopause and having severe issues. I get hot flashes, I get mood swings, and I get pelvic pressure, which I know is due to my hormone levels. I am doing the HRT. I still feel very uncomfortable. I was hoping these medications could help me.
I work out and drink lots of water. Overall, I am a very health women. Does anyone have any other idea for comfort? Thank you.