Hi,
When I started on the same regime I was given the same directions, use 2 - 4 pumps, however I was switching from oral hrt….
I started on 2 pumps and very quickly my symptoms came back so I increased to 3 pumps which works for me…
It took a good 6 months for everything to settle down for me on this regime. I felt great to begin with, this slowly dwindled and then I didn’t feel it was working well at all for me around months 4/5.
I’m now glad I stuck with it..
Good luck.
Ali x