I started on the Evri Sequi 50mg with around 12 - 14 intense hot flushes a day and disrupted sleep (presumably because of more HFs). That was down to about 4 or 5 a day after a month (less intense) and better sleep, almost none at 3 months and no sleep disruption. So it really did sort out the HFs, but it took a couple of months to get rid of them entirely. I noted when I had HFs and made a chart (I know, such a geek) but it really did show that the decrease was a diagonal line down over time rather than an immediate end to the HFs
That said, I didn't do well with the progesterone part of the patch cycle (conti) - extreme irritability, diarrhoea, and bad acne. I also had no bleeds at all.
At 3 months, I reviewed with Dr and swapped to Evorel 75 patches, which is a higher dose of oestrogen for the whole month plus the addition of progesterone pessaries for 2 weeks a month. That has sorted most of the bad side effects out, I think, although my skin is still a bit spotty, but nothing like as bad. It is early days with this new regime, though (3 weeks in), so we will see, I guess.
I will say I found using ChatGPT to discuss this was very useful in terms of plugging in what I was experiencing, and it made suggestions of what was causing the problems and what to adjust. I'm not suggesting that it directed what treatment I got, but it helped me understand that the side effects I had were known issues with the specific progesterone I was using, and it suggested alternatives. It meant I was able to have a much more informed discussion with my Dr when we reviewed.
Good luck, it is a bit of a process, but worth pursuing if it gets you relief in the end.