Returning peri symptoms on HRT?

I have been on HRT for 8 weeks and it has been life changing! I had sooo many symptoms and the almost all of them (except my low lobido) were eliminated when I started HRT. I’m currently using .025 estrogen twice weekly, 100 mg progesterone nightly, and vaginal estrogen twice a week.

Unfortunately, this last week I’ve felt several of my symptoms return. It feels like every day something new pops up. Itchy skin, vulva and anal dryness and irritation, increased anxiety, increased fatigue, joint pain. Does this just mean I need to increase my estrogen dose? Thankfully, I have a follow up appointment tomorrow and will discuss it with my doctor. Just want to know what to expect when I go in so I can advocate for myself if needed!