Sorry to hear you're feeling rough.
When did you last take a Utrogestan? It is normal to feel pmt symptoms for a few days after stopping the prog and then of course maybe for a couple of days with the bleed, but after the bleed and when you are on oestrogen only you should feel better. Also the licensed dose is 12 days per 28 day cycle so maybe that is too much for you ie an extra couple of days? If you are peri-menopausal then your own cycle comes into play from time to time so you can't say what is causing your symptoms. If you are post-menopausal and still feeling really tired on oestrogen only then either something else is wrong (such vitamin or mineral deficiency eg low iron etc, or underactive thyroid), or your oestrogen is too low.
If your progesterone is low then you will most likely feel good! Most women do (this is during first part of cycle and most women feel at their best mid cycle when oestrogen is at its highest). Low oestrogen could give rise to all sorts of menopausal symptoms ranging from flushes and sweats to joint pain, low mood, headaches and a myriad more. Too much progesterone/progestogen can make you feel really fatigued, also headachey, foggy headed, irritable and more - sometimes even depressed. I don't know the symptoms of very high oestrogen but it won't be fatigue as oestrogen is energising and uplifting - has an excitatory effect.
You could increase the dose of patches though before trying the gel - I don't know that one - System - but they're sure to come in a 75 mcg dose.
Yes you do need to give it time!
Hurdity x