Hi jeanettr,
You know every women is different but when I started taking premarin we started with the lowest dose and since the symptoms didn't go away my Dr. did raise the dose. But was on them over two years and didn't need to change it after that. I have now weaned off them actually. Of course having the night sweats and hot flashes again but going to try and go through it and get it over with. Just tell your new Dr. everything that you are going through and they can probably help you decide if you want to increase the dose or not. Take care.
Julie