I have kept a diary of sorts.. kept the dates I have upped or downed my patch., usually there will be a bleed.. I feel that half is not quite enough to stop the night sweats and the full patch is too much, so somewhere in between. I have also been suffering with very dry eyes they feel like there is sand in them in the morning, so this was another reason I upped my dose. I think I will stick at the 10 dots now and see how I go for a few months. Tyhank you so much for your time.