After two months on gel and utrogestan .. am sadly going back to patches ! Found the gel amazing ! Felt really good, but the utrogestan.. thats another story !! I tried it orally for the first month .. bad reflux , sore throat , bad cough and upset tum ! So this month i tried vaginally .. oh my ! My bladder has gone into overdrive, i feel like all the good that i have achieved with vagifem has been undone ! Im sore and feel the constant need to wee. My bladder aches so much ! So its back to patches for me ! Am so disappointed as my gp actually suggested this regime willingly and i didnt have a battle to get the gel. But i cant cope with the side effects ! X