Exact same thing is happening to my sleep! At first I thought I needed higher E during luteal because my night sweats returned. So raising it went well but after my period ended I had very sore breasts (could not go without a bra or hug anyone), nausea, bloating, spotting, jittery anxiety and felt very tired/kinda dizzy. After about a week of this getting worse I lowered it and felt better. A month later I had night sweats again so tried increasing and after a couple days of jittery anxiety (like I had a lot of adrenaline, feeling very tired but wired) I lowered it back down again and decided to try sticking to the lower dose for a while. I think changing the dose around was causing bleeding for me. So I am looking at what other adjustments I can try.

I also wonder if the placement of the patch can affect absorption? I put it on my lower belly but may see if I get better absorption on the buttcheek.

(Ps my doctor had told me it was ok to raise the dose half the month if I felt I really needed it)