Hi Rasta,
Since you say that the symptoms get worse right before you
change your patch, it sounds like you either need an increased
dosage, or maybe you could ask your doctor if your can change your patch a bit sooner.
I use the Wisdom Menopause Formula, and I haven't had problems with vaginal dryness, but I kept my ovaries, so there's really no comparison. I'll ask some of the others I know if it has helped in those areas.