I would say that the main advantages with oral estrogen are convenience and reliability, and for many, superior absorption.
Oral is also typically prescribed in more therapeutic doses as it was in widespread use before the WHI, whereas patches and gel largely entered the scene in an era when everyone was scared stiff of estrogen, so the doses considered standard, comparatively speaking, are lower.
I am not personally aware of any therapeutic benefits of hepatic metabolites regarding oral estradiol. In fact estrone, the main metabolite, is considered less favourable theoretically, and a reason why some prefer transdermal.
Personally I use oral because I don't want the mess, faff, cost, itching or lifestyle disruption of transdermal. I could bear the patches short term for IVF, however I am unwilling to sacrifice either exercise or hygiene to keep them on long term.
However everyone is different and at 33 you should certainly be able to get all options prescribed easily, so it is worth trying.
Additionally are you on testosterone? If not then the loss of this may be having a bigger impact than how you take your estrogen.
