Hi jooleea
Sorry to hear about your issues with HRT following your hysterectomy with ovary removal and what a pity you did not get the attention you deserve from the gynae you saw.
I am wondering whether actually the problems you are having are more to do with being plunged into sudden surgical menopause rather than the type of pacth you have been using. When you say last July - that is very recently but do you mean the July before last - as you later mention a year of hell? Even if you meant July 2015 - your body still has gone through a lot and especially if you were still having regular periods. From what I've read some women take quite a while to settle onto the right dose of oestrogen following a similar operation, and some women also need testosterone. Has this been discussed with you? There is a section on this website about HRT after hysterectomy:
http://www.menopausematters.co.uk/aftermeno.php which includes a section on testosterone.
You haven't said how old you are but the younger you are (in relation to average age of menopause of 51 or 52) the more oestrogen you should have - and at least enough to help protect your bones form osteoporosis.
There are other members in surgical menopause like yourself and hopefully they may be along to advise you and share their experiences - but if you don't hear from them - do start another post in the section "All Things Menopause" with a thread title that mentions surgical meno and someone will be along. I know some women (including those who haven't had a hysterectomy) have had to start with low doses ( eg 25 mcg) and then build up very slowly over a matter of weeks or months to avoid some of the side effects.
I have almost always used Estradot (almost 10 years now) and have found them to be ideal. I am not sure how Evorel and Elleste patches will differ - except in size as the oestrogen is the same, although the adhesives may be different? I do hope you feel better soon on these patches.
Hurdity x