Is the patch white katejo?
I thought that local eastrogen encouraged the tissues to create their own moisture. Ithat ithe "eastrogenised tissue would lubricate itself somewhst say during sexual arousal.s that not right?
Maybe the blood levels of E need to be a decent level too. I definitely read in a trial (cant remember where, I've read so much most of it's a blur) but I do remember it saying that levels should be above 250 pmol to treat VA symptoms.
maybe there is a "ladder of symptoms" and the lower rungs like hot flushes need less systemic eastrogen to resolve than the higher ones like anxiety/depression and VA. It would explain why some ladies find a resolution of physical symptoms on a pretty low dose but not VA. Just a thought.
I definitely notice (still have uterus and cervix) that I have no cervical mucus anymore. Does raising E levels restore this. Not sure how the mechanism works but I used to have a "healthy" discharge with definite clear mucus and it kept things comfortable I have no discharge at all now.