Birth control when HRT doesn’t seem to be helping?

Has anyone’s Dr recommended going on the pill when you’ve been on HRT for a while, and symptoms have keeps back. It’s brain fog (I used to be articulate and funny!), zero libido, zero motivation, and just bouncing from rage one day to sobbing the next. I’m scared to try something different and have it worsen. But not sure my daily life could get worse. So maybe I should try? Would love to know if this helped anyone else?