Hi purplebee, I found Utrogestan intolerable both orally & vaginally & yes, like you I found it was bad for GSM symptoms when used vaginally. My sleep (still a problem long postmenopause) was the worst it's ever been on Utrogestan & like Penguin it made me way too hot.
Penguin, Evorel Conti patches contain Norethisterone as the progestogen component & in this product both hormones are incorporated into every patch, usually prescribed for use postmenopause. There is a sequential form: Evorel Sequi, with the combined oestrogen-progestogen patches used for just 2 weeks of each cycle with oestrogen-only patches for the other 2 weeks. EC was my first systemic HRT product.
Wx