I use 3.5 pumps a day. 2 in the morning and 1.5 at night. I probably need to move to 4 pumps a day. But I do spot a lot if I try that. Need to get that sorted. I use Utrogestan vaginally every night and find it fine for my mood etc, but the spotting and longer bleeds are getting tedious.
I never suffered from hot flushes as such, although I did get some night sweating and would on and off with the duvet all night, throughout the winter in an unheated bedroom, with the window open!
Estrogel has completely stopped the night overheating and it stops me feeling unutterably sad and upset. I could just cry at the drop of a hat before it. I am grateful to it for those 2 things alone. I'm also struggling with hypothyroidism so it can be hard to tell where the symptoms are coming from sometimes. But the gel is good for the mood.
I don't absorb it very well, hence needing more of it than some.