Armadillo - just so you know Utrogestan comes in a pill. It is not a hard pill like asprin or paractamol. They are round balls with like a rubbery coating (don't let my explanations alarm you in any way I just don't know how else to describe it
) with like a liquid cream inside. The prescription will say to take them orally which is the licensed way. When you take them this way they go through the stomach and are processed by the liver and can cause some women side effects which is the same with any meno medicine. However, it is possible to insert them vaginally. This is not what the actual prescription license says in the UK but it is licensed in Europe to use this way. Lots of meno consultants say you can use it that way and I use it that way along with loads of other women.
The thing is that lots of GP's and plenty of consultants have not heard of using it that way but it is perfectly safe and it avoids the side effects of going through the stomach as it is directly absorbed into the vagina and up into the womb - localised if you will. You have both the options to either take orally or use vaginally. Tell your GP about the vaginal method - there is plenty of info on the web about it and on here even though the official leaflet says oral use.
Ref vaginal creams - I have not heard or read anything on this forum that suggests that any progesterone cream would be sufficiently strong to trigger the shedding of the womb lining if you used it on a cycle or would be strong enough to stop build up if you used it continuously. There maybe someone out there who knows different but having investigated just about every form of hrt through my own problems, I don't know of any progesterone creams that work the same as the tablets or pessaries.
Let us know how you get on and ask away if you have any questions about using the utrogestan - there are loads of us on here who use it. x