I'm 50 and have been on hrt 50 patches for a few years for oestrogen and a mirena for progesterone. I just feel that they're not absorbing at the moment (joint problems and nightsweats). and I went back to my GP to discuss this. I don't have a huge amount of confidence in her knowledge on the menopause, but I wondered about trying out oestrogel for a while to see if that's any better. Anyone swapped from patches to the gel and found it better?