Hi Saz,
Is it the Evorel Sequi patches that you are on the combined ones? I take those and it’s Evorel 50 half the month and Evorel conti for the other half. It does sound like you need to up your dose if symptoms are creeping back.
I am 10 years younger than you and started my patches in December which initially relieved almost 100% symptoms and felt great for a while but I’ve noticed the past few weeks I’ve got joint pains, itchy skin, anxiety and flushing in cheeks coming back so I am going to ask for an increase when I have my review soon. As bombshell said, it’s normal to assume that as our own hormones fluctuate and decrease, we are going to need a higher amount to feel comfortable again.
Also, magnesium helps me massively I take biglycinate supplements twice a day and it does reduce anxiety and help with sleep.
Good luck x