Hi all, I've been on Evorel conti patches for 6 months. I'm starting to get symptoms creeping back in such as atrophy pain & night sweats. I'm also on Metformin for diabetes type 2. Just had a phone call with Nurse practitioner as I've asked for a top up patch to see if it helps. Nurse told me there are nothing to top up my current patches and the only other option is to change to gel & a progesterone tablet. As I said I don't really want tablets she says there's no other options & it could be a mood problem & that I have to speak to a doctor, which just made me feel hopeless.