Are you under a specialist Vicky?
As someone who is struggling like hell with peri - I completely empathise.
That said, I am also surprised you are adding a patch to the pill. You just said on the pill only you were still getting some sweats at night.
We're those soooo bad??? I just wonder if adding the extra E in patch or gel, whilst stopping the sweats, is making other stuff a lot lot worse.
I truly believe that when in peri, we cannot eradicate everything. But it's picking what works best to get us through.
As aside - I've tried most pills over the last few years - and some actually give me night sweats!
I think you need to speak with your specialist, if you have one. Xx