Duncaf31 - welcome to MM
As you are still peri meno - so still having the occasional natural period - I'm afraid you do have to be on sequential HRT until you are post menopause. Post meno is at least one whole year without any natural bleeding.
Even when post meno, it is good to start on a sequi HRT as it gives you a chance to find out whether the progesterone in this HRt suits you or not. If you do well on this HRT patch, then in a couple of years when you have probably gone into post meno, you will be able to switch to continuous HRT which will usually result in no bleeds at all.
If you would like a non bleed HRT regime now, then the only option would be to have a Mirena fitted and use oestrogen alongside as pills, patch or gel. This is very popular as it is a minimal hassle regime and reduces the risk of fibroids and other erratic bleeding problems that can occur with any HRT. Once the Mirena is fitted, bleeding usually stops altogether after about 3-4 months, sometimes sooner, and you can use as little or as much oestrogen as you need to control flushes etc.
Do look under TREATMENTS on this site to get clued up on your options. GPs are rarely up to speed on HRT and treating the meno, so it's best to go prepared.
If these patches are controlling your meno symptoms then that is great. They are medium dose so it could be more likely to give heavier periods while you are peri meno. Many women choose to put up with monthly periods and stay on sequential HRt well in to post meno, as using progesterone all the time can give more side effects. DG x