Thank you Sheila99, my GP suggested to change from Sandrena 1 mg to estrogen patch. I am worried about side effects, bleeding as it seems that many experience them when switching. I take also continuous Utrogestan. I have now been on this regime for 4 months, still experiencing some night sweats, not hot flushes anymore that were my worst symptoms. My breasts have been a bit tender recently and sleep not the best. I also had some heart palpitations that I haven't experienced before but they subsided, migh have been linked to stress. GP said that she would not increase Sandrena as she thinks that it's high enough and not enough space for more gel to be spread. I would be greatful for any advice regarding this, should I wait for full 6 months to see if I feel better or switch to the patch or increase Sandrena, or if this all is not linked to estrogen