I have this prob too. Am 47, been post menopausal for over three yrs. started hrt during early 40s. Have tried elleste duet, oestrogel and estraderm patches. On oestrogel I increased to 6-7 pumps a day, but still my oestrogen levels remained at 84! Now on two estraderm patches plus four pumps oestrogel a day. Anxiety, joint pain and brain fog still terrible. The anxiety is overwhelming.
I'm now waiting to hear if I can have oestrogen implants- but apparently nhs v reluctant to prescribe...
I'm also on 200mg utrogestan and 1 blob testogel a day, plus one pump ovestin and 2 vagifem a day.