Donna, are you under the same Consultant who had you on high doses of estrogel? I have a 'theory' that what's happening is you are constantly fluctuating on patch change and this is what is causing the flushes to become worse.
It's known that fluctuating hormones is what causes hot flushes mostly - and why for quite a large group of women they ease off over time post menopausally when levels are low and reasonably constant.
Is there the option of implants for you? I believe this may be the only way you'll get consistency for any period of time. xxxxx