Hi Tracey E
Sorry to hear about your symptoms - I see you've just transferred from 2 pumps estrogel so depending on how you are absorbing it could be a reduction or an increase causing the first group of side effects? They are supposed to be approx equivalent doses but of course we vary in how well we absorb using each method so impossible to tell in your case. The only way is to keep on with it and see how you feel.
Getting up for a pee several times in the night won't be due to changing to the patch! It's all estradiol the same hormone. When on the progesterone phase of my HRT and go from sleeping through ( as I get so tired) to having to get up twice, but I've never had any side effects from Estradot patches. Prolonged oestrogen deficiency can cause changes to the bladder as part of VA but not in two days - and anyway you are still taking oestrogen!
Therefore any of the other side effects (jittery etc) are either coincidental, or due to anxiety as you've changed your regime, or a reduction in oestrogen or an increase!
Palpitations in menopause can be a sign of low oestrogen but I doubt you would experience this so quickly if it is only two days!
Hang in there, try to relax, and you should know within a couple of weeks if this new method and the dose is suiting you - and do let us know
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Hurdity x