It's licenced for vaginal use in the rest of Europe just not in the UK. The 200mg utrogeston capsule (the same apart from the dose) are licensed for vaginal but not oral use in the UK and only for ivf not hrt. I think this is a bureaucratic problem not a medical one. Lots of us on here use it vaginally, it's supposed to be more effective this way as more gets to where it's needed.