Thank you Sue. I will try vwhat you suggest although I'm still not sure about using it same time as the internal estriol. Maybe I will try inserting the pill first and then the estriol cream straight after. I've found I have to insert the cream at night or gravity does it's work!
May I ask when you were absorbing poorly had you been applying the gel to your arms or legs? And do you rub it into a small area or spread it out?
Did you start on 4 pumps. I was supposed to start on 2 increase to 3 but I went straight to 3 as my bloods showed low level where I had used the patch for 4 months and not absorbed.
I also think I might try to split the dose if my morning issues don't resolve after using the U vaginally. Do you find a benefit from splitting the dose?
The fat cell thing would make sense. I had thought the gel is absorbed into the bloodstream.
I hope you get a good result next time from your bloods. Do you feel it is making a difference rubbing it in well.
I'm not sure about using estriol at the same time as utrogestan either. What I do when I am on the prog part of my cycle is to insert the utro at night and then (using Vagifem) insert the Vagifem 12 hours later in the day. Graivty doesn't affect Vagifem as long as you keep still for a few moments after insertion because the tablet sticks to the vaginal walls. As this is only twice a week (the Vagifem) then not too much of a problem.
When I have the bleed I then skip the Vagifem and switch to the 0.01% estriol cream which I smear over the tampon and get my vag oestrogen that way - also stops the tissues drying out which they seem to at my age and stage with tampons!
Also to clarify the estradiol is also absorbed into the bloodstream as well as stored in the skin as a reservoir to replenish oestrogen in the body (as long as you keep applying the gel!).
Hurdity x
