I switched to pills after about 4 months on patches, as my E levels didn't seem to be rising a lot. The patches felt subtle to me - no real noticeable spikes or drops when I put them on. Convenient because you don't have to remember to take pills multiple times a day. Have nail polish remover handy to remove the residue when you take a patch off - it won't just wash off in the shower. You may want to experiment to find out which parts of your torso have the best absorption as well. Hope this helps.
Grace