Hi PollyH
I am one who didn't bleed on a sequi HRT by the time I was post-menopausal. If your womb is healthy with no abnormalities eg fibroids etc and the progestogen is high then as has been said either the oestrogen is too low to build up the lining or the progestogen is thinning it!
I'm a patch girl myself. Have used them since almost 54 which is now over 7 years! Estradot are very small - unlike all the others. I definitely wouldn't want to be bothered with remembering every day and waiting for it to dry! Patches also deliver the most consistent dose of estradiol into the system or rather are not so dependent on the user getting it right, than with gel - where the area of spread can determine how much gets through - although with trial and error I'm sure it's fine too as posters below have said! Just a matter of preference.
I also remain on a cycle and only tried conti HRT for about 6 months when I was 57 or 58.
As Stellajane said you would need separate progestogen - and many of us prefer the bio-identical progesterone than the synthetic progestins - and the bio-identical type (micronised progesterone - marketed as "Utrogestan") would certainly be recommended if you are progesterone intolerant.
All the different types are listed here:
http://www.menopausematters.co.uk/treatment.phpLook at the tabs below the main HRT preparations menu and look for oestrogens, and then progestogens, and scroll down for the non-tablet preparations.
Hope this helps
Hurdity x