Hi Dotty - sorry I can't remember your story - age and how long you've been trying HRT. However if you are not noticing any difference with Elleste Duet which is 2 mg oestrogen, then maybe you are not absorbing very well.
What symptoms are you still experiencing that you would like to alleviate?
Many of us have found that patches work pretty much straight away but of course depends on your circumstances, whether you are taking it cyclically and sometimes also which progestogen too. Also some women don't do well on continuous progestogens which can give constant pms type depressive symptoms and headaches etc and may even counteract the beneficial effect of oestrogen on mood for example.
I have only ever used patches and they worked from the start.
Hurdity x