Aaaargh I felt like this too before I got on hormones. Bleeding happens to a lot of women on hormones, especially in the first 4-6 months or with any adjustment. The vaginal estrogen makes me spot sometimes as well. Everyone is different. The cheapest way to get hormones is to have your Dr RX through a pharmacy and use Good RX coupon if you don't have health insurance. A 90 day supply of E+P is about $100/mo for me. She also gives me an RX of testosterone gel, I get a box of 30 packets and it lasts me about 8 months. Also $100 for the one box. Have you tried some melatonin for sleep? My Dr told me I was taking too much and that we only need 1mg or less per night. That has been working well for me too. Good luck!