Hi, getting the right form of HRT is very difficult as we are all unique, what suits one person, won't suit another. Spotting is listed on the side effects for Evorel Conti, and it sounds as if its not the right one for you. I am 68, I was on Estraderm Patches for many years due to a total hysterectomy at the age of 40. These were the only patches that I got on fairly well with. I'm not a doctor, but I feel that perhaps you don't need the progesterone, especially as you are also older now. I don't take anything, I just stopped all of a sudden. It was as if my body was telling me, you don't need it anymore. If you haven't had a hysterectomy, it might be best to stop taking the Evorel Conti, and definitely discuss with your doctor. I wish you all the best.