Hi skipps, so sorry to hear its made your symptoms worse, I can completely relate to that feeling, I had exactly the same symptoms as you, when I first started hrt, my insomnia got to unbelievable levels, I also have ibs and it seemed to cause a huge flare up, I felt like giving in because I couldn't stand how much worse I felt, I also suffer anxiety and that too got worse but honestly I'm far from perfect I still get lots of symptoms but they are much more manageable, my insomnia improved after 3 months I know that's an awful long time especially when you feel so rubbish, but try to continue with it a while longer if side effects get unbearable ask doctor to try a different patch, some say it's all estrogen and makes no difference which patch you use, but that's not true everol worked good for me, but estradot was awful, unfortunately hrt is not a fix all cure, and it can take a long time to find a balance, I'm 4 years on and still can't find that perfect balance, but lots of things are manageable compared to how they were, if you haven't already I recommend taking a look at the hystersisters website, after my hysterectomy I found so much good information on there, and excellent advice because is specifically for ladies who have had a hysterectomy you will find everyone is more or less in a similar situation, they also have a section called the hormone jungle where ladies are still struggling with finding a hrt that suits them, I hope you start to feel better soon, remember if side effects are too much ask for a different patch, best of luck hoping you have better days soon.