Hi Smokey - If you are peri meno, why do you think a higher dose will improve things? I actually found that I got negative side effects if I was on too high an oestrogen dose when I was peri meno - too much oestrogen made me feel jittery and I got headaches. I was eventually put on just one pump of gel per day and that was perfect for some time until I went into post meno. DG x