In my humble opinion, a pea size dose of gel is not enough to relieve the symptoms. I would go up to one and a half plunges of the pump, I use one full plunge, then just a little curl of the next pump, I alternate legs, doesnt matter where you rub it on the legs, sometimes the buttocks, ocassionally the inner arm, stay away from breast area, but I just use the legs, it is taken up on the hair follicles as well and remember, it takes a while to build up in your system to a circulating level of oestrogen, which will relieve your symptoms and offer bone and heart protection, so I would up the dose and after a month, if you still feeling lousy, go up to 2 plunges which is the recommended dose. Utrogestan 100mg for 15 days should offer adequate protection of your uterus if you are not using more than 2 plunges per day, I found the 200mg very heavy, it gave me terrible tinnitus as well, but what I recommend is, that if you are not using the standard dose of progesterone, which is either 200mg for 12 days of the month, or 100mg for 25 days of the month, that you just have a uterine scan every 12 to 18 months which gives you a very good indication as to whether the Utrogestan is doing its trick and keeping the lining nice and thin, remember to go for the scan just after a bleed which is when, your Dr will get the most accurate reading. All the best, the gel, if used properly is great but you are using too little to help you feel good
with all due respect to your Dr and you should use the gel every day that is why you are getting a bleed cos you are not using it consistently. I miss one day and boy I breakthrough bleed, so annoying but your body needs a constant uptake of the hormone.