Thankyou Hurdity I know I may sound confusing but to be honest I am. Lack of sleep is really getting me down I have now read up about patches and am starting to understand,you see after I had my hysterectomy I was given an estrogen tablet 1mg to take every day which was fine for a year then it started to wear off and in the past few weeks its been hell,yes flushes,nightsweats,insomnia I just cant think for myself I have an appointment Friday with my gp again so I will ask for a higher dose of the patch maybe Ill get my life back.