Hi Liliane welcome to the forum.I didn't get on with the patches I didn't seem to get enough oestrogen at a steady rate so I swopped to the oestrogel pump method or transdermal gel and I haven't looked back,you can tailor the dosage to suit your needs and it sounds like this would suit you better,so start off with one squirt of gel daily on your thigh,takes a while to dry,then gradually build up to a comfortable level after a few weeks if no immediate reduction in symptoms.make a gp appointment and discuss and any other questions post away the ladies here will try to help and support you.If your having vaginal problems like dryness or soreness you could also ask for some vagifem pessaries or estriol cream to plump up the vaginal membranes while your at the gp.itll help stop v.a and urogenital problems like uti,s ,this is a lifelong treatment for the v.a it never goes away and usually worsens if you. try and stop the treatment.good luck and hope you get sorted out soon.xx