Patch - easy to apply, not easy to alter the dose, can't adjust length of cycle (my natural cycle is longer than normal), sometimes don't stick well. Gel - easy to adjust dose & cycle length, pain to apply specially when it's cold waiting for it to dry, not green, too much plastic. Personal preference I think, I had to stop everel as got a rash, now on gel which suits atm as in peri & can adjust dose & cycle length. When in meno I will ask for estradot.