Hi Warwick01,
I noticed a difference going from tablets to patches and had to up my patches. So I cut a patch in half and this helped. I was also getting hot flushes again and joint pain. These definitely subsided on the higher dose. Could you speak to your GP and trial an increase? (I'd seek advice first as you're using unopposed oestrogen at present or maybe cut a patch in half and try for few days prior to seeing go to see if you notice a difference?) I did start to wonder if I was absorbing the patches so well and I'm now trialling oestrogel but I'm on the highest dose which I'd really like to try to reduce.
Maybe ask to trial femoston sequi if still peri as these have a kinder progesterone and come in a low and high dose oestrogen so you could increase from 1/10 to 2/10 if needed.
It's a minefield trying to get the right hrt for some duevto prigesterone side effects but persevere and let us know how you're getting on xx