I'm almost a year in on my hrt but still struggling. Been on utrogestan tablets and estraderm patches. Patches increased from 75 to 100 but then knocked down to 50 because they seem to be causing regular bleeding ( doc is keeping an eye on that). Then just as they knocked the estraderm patches down to 50 I found out that estradiol gel was finally available in my area so I asked for that instead. Was started on 2 pumps a day and was ill within 48 hours. ( Last year I had 2 months on testegel and was very ill the whole time, doc realised I had rapidly absorbed it and ended up going from undetectable levels to double the healthy amount in 2 months. ) Felt exactly the same with estradiol gel, like I've been hit by a bus, heavy, exhausted, sickly. After a week I skipped a day because I felt lousy, and felt brilliant the day after, totally like my old self before menopause. Started back on 1 pump a day estradiol. It's only been a couple of days. I don't feel ill like I did on 2 pumps but I'm not great. I don't know what to do. It's almost a year and I'm so fed up of feeling like this. Hrt has worked in some respects. Brain fog is better, palpitations and anxiety gone. But I'm still so tired. I want to have a life ! Do I stick with 1 pump. Do I try 1 on a morning and one on a night ? Or go back to patches ? Sorry for the long post. Everyone else tells me how hrt gave them their life back and I want that too.