Hello Snoopy and welcome. I have been off the patches for a while now - I just stopped completely and did not cut down gradually. Overall I think I would rather be off them. I have had hot flushes and night sweats and my hormones are obviously up and down, as I had a period after 8 weeks off patches (am aged 51). i have some days with anxiety and panic/low mood but others days ok, this is also related to the current health condition that I am contending with though (was not anxious or low before that).
I know what you mean about the patches falling off and I didn't find any great solutions. They are so variable, sometimes one would stick well for a week other times I would replace 3 days in a row! I tried all sorts- steristrips, bits of adhesive tape, changes of patch position. Waterproof dressings did not work as they seemed to draw the moisture (and probably the hormones) out of patch and it still detached from skin, plus you could not tell if this was happening. I seemed to be constantly checking to see if the patch was on.
I hope you settle on the Femseven or find a better solution. I am sticking it out without HRT for now, as I don't think it suited me, but I know there are lots who would not be without it.