Hi purplebee,
I'm no expert, but I would like to try and help.
I just wondered as your on evorel conti and also utrogestan if you might be having too much progesterone? (again I'm no expert so more experienced ladies will be along with better suggestions probably)
But I wondered if you may not be better on an estrogen only patch and then take the utrogestan.
I don't see why you couldn't take it vaginally one night and orally the next, although for me personally I've always felt consistency was the key for me.
I hope you get sorted and sorry I couldn't have been of more help xxx