Probably not a bad idea Night Owl!
I have seen evidence that capillaries can regrow into areas where they have declined....i.e. to supply blood in heart patients after heart attack once patient is on regimen of exercise and meds
Maybe those of us on long term vagifem who use it up high need to try longer to get it to work in the periurethral area better....it might taken longer for the blood supply to increase since it has been preferentially going elsewhere due to "uterine first pass-effect" from the up high placement.
Another idea....if you are do for a reload - could try one up and one down for the 14 days.
I might try the alternating also, if the pain doesn't get too bad. I am better today with patch change today.
I read somewhere in a conversation between doctors that vagifem is great for vagina and doesn't work well for vulvar atrophy and burning....they recommended creams for the vulvar atrophy and once it was fixed, vagifem will maintain it. I guess I could try the creams again in very thin application now that I have been on systemic HRT for a while. Maybe I wouldn't be so sensitive now.