My experience was not good with the Mylan patch. I was on oral tabs for a while but my hormones were roller coastering all day and night. My doctor prescribed the patch and the VA gave me the 2x2 patch. I'm a gold prospector, so I work in the creek in the summer. It gets wet and sweaty and with all the flexing and bending, they wouldn't stay on. Doc kept upping my dosage and soon I was wearing 3 patches at once. The patches had a thick foam backing, so my clothes would catch on them. I tried Tegaderm, but it was thick too. My doctor talked to our pharmacy and they decided the best way to keep them in place was to use an IV hand dressing. It breathes, is waterproof, and is very thin and flexible. It was better the patches still fell off.
I did a Google search and began reading reviews. That company has a lot of bad reviews. People with the same issues. I took this to my doctor and got the Vivelle Mini-dot. As you described it is the size of a quarter and very easy to wear three or four at a time. But my estradiol levels were still too low. My doctor tried to get a different brand but it appears that Mylan is buying out other companies. Can you spell M-O-N-O-P-O-L-Y? She tried to get a higher dose patch, but could not find any, so put me back on oral. Guess what? Hormonal roller coaster again. Hot flashes, night sweats, and irritability. PMS my old friend.
Now I have a new Gynecologist. I explained the issues I have had. She believes that my liver is strong and metabolizes the oral tabs faster than others. She still needs to up my dosage. She is checking with the pharmacy again to a) find a higher dose patch, or b) have me take the oral tabs more often (3x per day or so). I still don't have answers yet.
In over four years and four doctors prescribing, I still have not come close to the estradiol levels they want to see in my lab results. Not even close. I mention this because many people do well with Mylan or other patches. Some do well with the oral tabs. So take this with a grain of salt. Your mileage may vary.
Hugs
{UPDATE:} My doctor just called. She contacted the Women's Health Pharmacist and the name-brand Vivelle Dot is available. She placed the order, so I will be back to 3 patches/day twice per week. Good bye roller coaster!