I'm about to turn 61 and my GP has been at me for ages to quit and repeats The Mantra like a programmed robot each time I re-up my script "you should only be on the lowest possible dose for the shortest time possible". I tried coming off last year when I had to have a hysteroscopy, but the horrible symptoms returned after 6 weeks — i hung on for 3 months. When I went back to her to restart, I got The Mantra again. (Also, she wanted me to be on tabs not patches simply because "it's easier to 'come off' HRT using tabs than patches." FFS.)
Then I found a private meno specialist doc in my area, and I made an appointment, got to talk to her for an hour, ask all my questions, explain that I am unable to work with my doc to try to find what works best for me because of The Mantra. What a relief it was. Anyway, am now trying a slightly higher Estradot (50 mcg patches instead of 25) and in a month or so will get bloods to check T and E, and after that possibly try some T. Well worth the extra spend.
So, bottom line, yeah, what everyone else says. It's so frustrating to be bashing your head against a wall like this.