Basically im 42 years old and in the last 6 months have experienced major hot flashes and insomnia, periods are shorter, I told my regular physician and he suggested the ortho evra patch , the hot flashes have gone away I still dont sleep great , and I have gained weight- Im just wondering if its worth being on the patch I mean I may have to stay on it for 5 years, the hot flashes are bothersome but its the lack of sleep that upsets me the most- any suggestions because the patch does not seem to help with the sleep- anyone have suggestions to cure insomnia in perimenopause?