Hi Tc - As you are in surgical menopause but still with a womb, it is especially difficult. Racjen is in the same situation. In your case blood tests and the bleeding have shown you are not absorbing the oestrogen, so it is not actually high for you even though it is classed as high dose. Also your starting point is lower than most becase you no longer have any ovarian production whatsoever, so are relying on adrenal production of oestrogen and testosterone from androgen precursors, and then what you are topping up with exogenously. It will be very different from those of us who still have our ovaries even thoiugh menopausal - as they continue to secrete/produce some hormones for some years albeit at low levels.
As long as you are being monitored then it should be fine but I can't remember if you have tried the gel? Or both at once as some members have been prescribed ie a combo of oestrogen products?
I hope you manage to get a relief from symptoms and decent serum levels soon...
Hurdity x