Hi ladies, I had a chemical total hysterectomy 2 years ago, I turned 50 in October, I have been on Evorel 100 and started to have trouble falling asleep and staying asleep etc, my estrogen level was low at 115, so Dr gave me OEstrodose, he has said to stop the patch and use 2 pumps of gel :/ does this mean my Estrogen would be reduced even further, as 2 pumps = 50 ? So confused, thanks for any advise x