 [ Symptoms ] i just started combipatch a week ago but am not feeling much better why is that [ Disease ] if you look at data on estrogen replacement it may take up to four to six weeks to get a big dent in your hot flashes and from six to 12 weeks there is a slight improvement what you see at 12 weeks is about what you get so do not give up    if in four to six weeks you do not feel much improvement i would talk with your doc to get let him or her know    but there is still considerable hope that you will feel better soon