Jennifer - the best way to be able to be really flexible with your estrogen dose, is to move to HRT instead of a combined pill. Because with the pill you are locked into whatever dose they decide to put in there. With HRT, you can decide for yourself if you need more or less estrogen.
Is there a reason you want a combined pill instead of HRT? I mean, do you need contraception?
If you need contraception and want to try HRT, you could consider the Mirena coil - which would give you contraception but also provide the progesterone for HRT. So you could totally forget about that part of things and then you just use the estrogen and decide how much or little you want of that, using a gel, patch or spray.
If you don't like the idea of the coil (I don't, although I would use it if I had no other options) you can use barrier methods of contraception so you can go on HRT - or you can use the mini pill/desogestrel. (Frankly I'm not a fan of desogestrel at the moment, as it suppresses your ovaries and your own production of estrogen/progesterone.)
As for anxiety, you might want to take a look at this other thread which is running - all 17 pages of it
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
:
https://www.menopausematters.co.uk/forum/index.php/topic,62514.0.htmlThat is a few of us trying to figure out what is going on with estrogen and various anxiety symptoms. I'm not sure we have any answers but I feel there is a collective power in us pooling our experiences and trying to figure things out...