Hi Kai63
Sorry to hear about your ongoing symptoms. Do you know whereabouts you are in menopause? It sounds like you are taking a lot of progesterone including the progestogen in the mini pill and many women would find this combo terrible in terms of progestogenic side effects.
In terms of not having had the side effects before - our bodies do change as we progress towards menopause and beyond so this may be the reason. Some women do find that too much progesterone can cause an increase in sweats and flushes because it seems to interfere with the beneficial effects of oestrogen - not sure whether this has actually been established - and if your body has changed this might be the reason. In the past some women on here on cyclical HRT found they needed to increase their oestrogen component when on the progestogen phase of HRT, This doesn't explain what you are experiencing. Yes nausea can result both from increase in oestrogen, and from progesterone - especially oral utrogestan. Perhapas you could try taking utrogestan vaginally for a few weeks and see if this resolves - though nausea due to high oestrogen does tend to disppear anyway?
Depending on your age, and if you are peri-menopausal and given you're taking two different progestogens as well as oestrogen, you might like to think about the contraceptive pill QLAIRA which contains estradiol (the same as in the gel - although orally) as well as one of the newer progestogens (not sure what your mini pill contains).
Sorry I can't be any more help but hoping you manage to resolve your symptoms soon.
Hurdity x
