Is HRT recommended when you have an autoimmune disease?

Hello! I have Limited Systemic Sclerosis and Sjogren's Syndrome. I'm also going through the menopause, and sleeping really badly. My GP recommended combined HRT patches, but I'd read they weren't advised for scleroderma. I've tried asking my rheumatologist and she said she presumed they were fine, but she's not a scleroderma specialist. Please do you have any guidance? I'd hate to make my symptoms worse. Thank you so much!

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