Just a quick thought Discogirl, I find I sleep better with less Oestrogen - too much and it makes me wired and awake during the night. Also I find the Estradot patch gives a consistent dose. Why not try the 75 Estradot and then you always have the option of cutting a bit off if that's too much. Or start with cutting some off and work your way up to the full 75 patch if need be. Sorry you're having these problems and hope you get sorted soon! x