It would be worth asking if you could reduce to 100mg utrogestan because your oestrogen dose is very low at only one spray. If you were on three sprays a day like I was offered then it's 200mg utrogestan to balance out that. 
I didn't try it as I like Estradot50 well enough.
Then I asked if I could go from 200mg utrogestan to 100mg utrogestan if I take it vaginally.
They said I could do it vaginally on a temporary basis just until I get my scan, but it must be the full dose of 200mg.
As Sheila says lots of private doctors will say half it with vaginal use because the dose to where it's needed is higher when it's closer. It doesn't need to be digested. 
The NHS doctors won't stick their necks out to tell us that because vaginal use of micronised progesterone hasn't been licensed for hrt use in the UK. 
It is licensed to be used vaginally for fertility in the UK, or for HRT in France and other countries, but the particular license needed for us HRT patients in the UK to use utrogestan vaginally lapsed and there are no plans by the guys in Westminister to bring it back.
So I'm taking half the dose vaginally, it's all I can manage and my scan will tell us if that's enough, but don't tell anyone at the clinic 
