Hi jane980
The dose of oestrogen you need to feel better partly depends where you are in menopause re periods etc - and how long you have been without it.
Many women find the gel works immediately and brilliantly for them although others find it takes a while to settle. I have never used it having only used patches - which have worked like a charm.
I also use utrogestan vaginally - in my case I take it every 6-8 weeks because I am well post-menopause and take 200 mg (2 x 100 mg) x 12 days approx (with the OK from my doctor). As Dazned says the licensed dose is 200 mg and the length of time 12 days per cycle although some doctors will deviate from this.
There is research which shows that less is needed when used vaginally because more gets to the uterus like this but as dazned says this should be under medical supervision. Unfortunately many doctors are not aware of the vaginal use but it is fine to use it this way.
If you are not getting side effects from vaginal use then continue this way and see how you get on. Were you not told to start the HRT at the start of your period and then take the Utrogestan days 15-26? If you take utrogestan continuously the dose is 100 mg - although I doubt there are many women taking it vaginally on this basis?
I hope you soon begin to feel better on the gel
Hurdity x
