Asv and things are getting worse

[addysnan]

            Hi, its been a while since I've posted. I've been on ASV for a few years now and up until 6 months ago things were going ok. The Last 6 months my AHI has gone through the roof and I am beginning to feel very tired and muddily. I dont know if HRT has any affect  but that is the only thing different, that i now take.. Once every 6 months or so I see a sleep tech at the public hospital but it takes so long to get an appointment. After a 2nd sleep study  the hospital changed my settings to BPM which did not bring my AHI down and at 15 BPM it was too much and couldnt sleep/. My AHI was up to 38 and after a month of sleepless nights and no change I changed it back to my old ASV settigs. Sadly that didnt help either so I adjusted again and the first night scored a 4.1 which I was pleased with. The second night it went up to 18 and the third night (last night)it went back down to 12. I am now so confused and I cant get into see the tech at the hospital, for two months. I really need some advice. Am I working with the wrong settings? Or have I messed it all up? I really am so confused and thought that epap was the settig to adjust for CA. I did notice I have alot of Hyponeas. Any help would be so appreciated. I have uploaded the first and second nights Encores scores and graphs.

[addysnan]

Please 
 is there anyone who has the time to look at my issues. I don't know what to do. I have tried calling Respirico and another so-called sleep centre but they will not adjust settings or even give me advice. I cant wait another 2 months and sometimes it gets rescheduled for a later date, so it could be even  longer. I would so much appreciate any help.  sincerely.

[nh00]

I'm not an expert, but you're having a lot of leaks! Are you really using a nasal mask? Do you tape your mouth?