Hi, I had total hysterectomy end of October this year and went straight on two pumps of oestrogel daily, didn’t feel any relief from the hot sweats so increased to four pumps two weeks later as advised by menopause doc, still found no relief from the hot sweats and difficulty sleeping, spoke to menopause doctor who advised me to increase to six pumps, three of a morning and three of an evening, still didn’t help so I decided to try the estrodot patch 50mg which I am now on my second week but still having hot flushes, I was told some people do not absorb the eostrogel very well, think I must be one of them, my doctors surgery does not check oestrogen levels as routine unfortunately so I’m just going to stick with the patch and hope it helps given time. I am 53,