Hi there crazywomen,
Firstly havent told my gp that I take it this way as I had a hell of a time getting it prescribed in the first place ( refused! ) so saw a different gp at the practice. I decided to change the way I use it after reading advice on this fabulous forum and reading lots of research articles regarding using it this way.I used to push it up with my finger but I dont think I got it in high enough as it caused some irratiation which I thought was thrush , so I bought a applicator a long slim tube with a plunger thats used for inserting oetrogen into the vag the capsule fits perfectly into the end of it. It has to be as high as you can insert it . This had helped , no longer get irritation .athe capaules disolves ( @ 20 mins) but I administer it at bedtime anyway. There is also a bit of discharge in the morning but its minimal.
There is lots of literature regarding the use of vag utro and the uterine ‘first pass' re absorbtion mainly around its use for infertility purposes but there have been a few studies regarding hrt use . The most important thing is to monitor the thickness of the uterine lining to ensure its keeping it thin ( and healthy) hence the need for scans . Really hope you get sorted. I will post again regarding the results of my scan .