It would make sense to add another pump it may make all the difference but you have to be happy with that, it is only what I have done. My situation is different because I don’t absorb much if any at all and it’s been a long slog. I have tried all of the transdermals and spray, gel and patch at the same time. With any form of hrt you don’t get a comparable dose as the first dose. Splitting the dose can help get more from it. Some of the doctors at newsons stick to one type of Estrogen and keep increasing but others add in a different delivery so you would add a spray or a patch to the regime, but think that is if you are a poor absorber. I am now taking oral estradiol to try and get well, I’m not there yet but I am improving but my own hormones are going crazy, my ovaries are fighting to keep going which is brutal along with the decline at the same time.
I at one time was on the equivalent of 5 x 100mg patches or 20 pumps of gel with no change in symptoms because I don’t absorb.