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[Jules]

I know you have had lots of checks in recent months and I would say it was the fact you didn't use a moisturiser that caused the bleeding, and polyps do have a habit of returning. 
Its always best to be on the safe side I know but if you had no bleeding before then I wouldn't worry too much here, for me I would wait and see if it happens again before seeking advice.

Thanks Ayesha. I think you are right in your advice. I'm not sure I want to see if it happens again at this point though so decided a check might reassure me. I got a different GP responding who is less rigid about so called protocols, so I don't feel as anxious.

[Ayesha]

You seem to have a much more positive attitude to it all now and you know what you want and not what you are told by medics that can't differentiate between topical and systemic oestrogen, I am referring of course to Vagifem and Estriol dosages.

Hope all goes well at your appointment and its a positive outcome for you.

[CLKD]

Medics are so afraid that women can overdose on oestrogen when it's replacing natural hormones   

Hence many trial what works for them B4 reporting back to the GP.  Every night is OK, it's such a small amount of replacement and lots require Vagifem or estriol nightly.  I use 'oestrogen/estriol' as well as smearing estriol around the outer labia and clitoris areas.  Works 4 me and medics shouldn't be denying women - there should be give and take: would they deny heart or diabetic treatment in the same way 

GPs stick to the 'twice a week' idea because that what is in the leaflet in the box!  Dr Newson is trying to get this altered without much success.  They seem to forget that Quality of Life is important and that we may die of something else long B4 any replacement causes problems! 

Personally I would put off being poked and prodded until I discover  what works for me.  Let us know how you get on.

[Jules]

The GP who told me to cut down said she didn't want me having a bleed again like last year and having to go for investigations as it had been such a bad experience. I didn't follow her advice.
CLKD, I probably shouldn't have asked but wanted to check and wanted to increase the dose but I definitely will stop her if it's uncomfortable.

[Jules]

I've seen the GP.  She mentioned causes such as friction, polyps and cervical cancer. I told her I was not going to the gyny again. She isn't British and couldn't believe they'd done the hysteroscopy without pain relief.  She examined me. She didn't remark on the general condition of my vagina, there's an area of abrasion on the vaginal wall which likely caused the bleeding, vigorous sex and no lube.  She said they get women of all ages suffering the consequences of that. My cervix is fine. So nightly vagifem, reduce to my previous dose after 2 weeks, let it heal, if it happens again, go back. She also had the twice weekly fixed in her head too. She asked if I want to try system HRT but I don't.  I'll stick with the topical stuff.  And Ayesha, I do feel more confident in deciding what's right for me.

[Jules]

Regarding topical estrogen I've realised it can't reverse the damage, and the damage has started before we get symptoms bad enough to act, also mine has obviously worsened without me having any discomfort. So it seems hard to prevent it worsening. But if a battle against the tide