HRT working in all areas but not night sweats

[BigButtons]

I am now on the equivalent of 4 pumps of gel a day- been on HRT for about 3 years. The bloody night sweats come 2-3 times a night still every night. So tired.
Anyone else have this issue. Is this the best I can expect?

Have you tried adding in exercise to it all? It can make a difference.

@JinglingHellsBells yes I exercise well most days, I do meditation and yoga etc. I am so perplexed.

@BigButtons Have you tried splitting the dose, am and pm?

The British Menopause Society suggests this in one of their documents (on their site though a while since I read it.)

I have applied my gel this way all the time- morning after a shower, and then at bedtime after a shower. Works for me.

@JinglingHellsBells that’s a great idea. It would make sense that having another dose of estrogen close to bed time would help.
I am being driven half insane with the constant waking.