Crumbs! On the patch placement issue - I had no idea that the location could have a noticeable impact. TBH sometimes I ask myself what the hrt is doing as I have disturbed sleep (wake up in the early hours restless and like a furnace but no sweats), migraines at least once a month, brain fog like you wouldn't believe (super scary if you knew what I do for a living), dryness and extreme itching in genital area, forget loads of things, listless, no engagement with plans or pleasurable things, gastritis and, oh, the list is endless.
My friend self-prescribed an increase in her Evorel to 75 and says she feels way better but that's not going to be approved with my fibroids.
So, in summary, let's try moving the patch and mention the gel once I get my appointment. Thanks again all.