Hi Sedge
When you say you were diagnosed as menopausal - had you been without a natural period for at least 12 months up until this point? Otherwise blood tests do not diagnose menopause (noit post-menopause anyway). Have you had any bleeding on the Evorel conti?
The main thing is - that estradiol level, if in any way accurate, is way too low for someone of your age, so if you are post-menopause you are clearly not absorbing it sufficiently ( although partly depends when you had the blood taken in relation to patch change day?). I would go for separate oestrogen and progestogen and if you don't want to take anything orally then either go for the vag Utrogestan (but I wouldn't want to do this every day so better on a cycle - although regular withdrawal bleed would happen on a cycle) or the Mirena coil which delivers a progestogen directly to the womb with far less systemic absorption (than taken orally). You could then take oestrogen at a level more suitable for your age - either patch (in short supply at the moment) or gel.
Hurdity x