HRT- Higher dose or change?

Hello ladies.

Im over 6 months from end of treatment. I was prescribed HRT Kliofem and vaginal estradiol ( could have spelled that wrong )
Anyhow this week ive noticed low mood - that might be stress- sore breasts. Like pre period or early pregnancy pain and down stairs gets a wee sharp twingy feeling occasionally - dryness? mainly while walking.
Do you think I might need my HRT changed or dose changed?

Thanks xx