[Nipply Russel]

Thank you for your answers, they are very useful. However, I am seriously thinking about putting aside PM altogether, because it is not normal for me and I was really scared.
I wonder if I am able to achieve the desired effects, e.g. by combining white peony, fenugreek, reishi mushrooms and saw palmetto. I mean mostly changes at the bottom.

I was/am very scared, as well. As much as I want to continue, I'm very concerned. But keep in mind the fact that, as I understand it, proteins produced by your liver in response to female hormones increase the level of clotting that happens in your blood. This means that the other herbs you're talking about could have a similar effect. It stands to reason that the weaker ones (relative to PM) would produce less clotting, but you'd need to know for sure.

As others have mentioned, transdermal dosing of hormone therapy appears to have a greatly reduced affect on liver-produced clotting proteins, as the liver "first-pass effect" is avoided. This would include vaginal/rectal suppositories.

This might help: https://transcare.ucsf.edu/guidelines/feminizing-hormone-therapy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366074/
In particular, take a look at "table 2" in this article.

Additionally, people who are concerned about clotting have taken Rutin, an over-the-counter supplement which is notable for its blood thinning effects. If you're on prescription blood thinners, you're already receiving therapy which "prevents" clots.

Having said all of that, please proceed, if at all, with extreme caution. One has to weigh the benefit of the mental well being with the risks associated with taking these compounds.