It took me 3-4 weeks on Tri-Est 2.5 before I started seeing an improvement in the flashes (day and night). After 5 weeks, I wasn't having daytime flashes, but still having some weaker ones at night. Last week I had my prescription changed to 3.75 (my practitioner's choice) and the nighttime flashes have just about disappeared. I have even started sleeping through the night, which hasn't happened in many months.
My prescription also includes progesterone and testosterone (that just added last week). As far as the Tri-Est, apparently you need to give it a good month before you decide if the dosage is working for you. Hang in there and see what the next couple of weeks brings in terms of results.