Hi - I’m on Elleste Solo 80ug abd have a mirena coil and after also using vagifem every other night for months I started to get light blood on wiping...then eventually light to dark blood at any time.. I had a scan and supposed had a very slight thickening of lining and then had an mri which showed no thickening just fibroids and all good. My gyno then suggested upping my vagifem so I’ve been using it every single night for 3 weeks and the bleeding has now stopped completely (after about two weeks)... my question is .. is it ok to continue to use vagifem every single day? Also my estradiol level in July this year was 242 but today it’s 147 and I know there’s less estrogen swimming around my body as my (already tiny) boobs have zero fullness (which makes me pretty unhappy tbh) .. I ‘feel’ ok though, I never really had hot flushes just a cloudy brain.. I was originally put on hrt last year following vaginal atrophy, painful sex, terrible burning, and spotting .. sorry not sure why I’m going into so much detail!.. Anyway since using the vagifem daily my burning is slightly less (very very slightly less but deffo still there) so I’m thinking if I continue using vagifem daily the burning might improve further plus it seems to be keeping the bleeding away. I haven’t braved having sex in about a year albeit I’ve also been ill with terrible gastritis and heartburn
![Sad :(](https://www.menopausematters.co.uk/forum/Smileys/extended/sad.gif)
I just had new bloods dive and my current hormone levels are estradiol 147, FSH 11.9 (which is supposedly good?) LH 7.2 and testosterone 0.45 (supposedly a bit low?) and DHEA in feb was 2.4 (not had current result back yet)...
My gyno has given me two choices ..
1) up my patch to 100ug and switch to using intrarosa (DHEA) at 1 pessary every night for 12 weeks for my ‘atrophic vaginitis’ of which google hits were scary!
Or 2) stay on 80ug and use vagifem ‘as needed’ .. I’m not sure if this is a green flag for every day of my life though? Plus also to consider starting tostran gel one pump 3-4 times a week..I’m surprised he actually even suggested this as it was him that said a few weeks ago he’d like to get my estrogen levels higher before replacing testosterone (and this was before he even knew my latest results)...
Again I’m so sorry this is so lengthy but I’m quite honestly fed up with it all and could really do with some advice .. my gp seems to think my levels are ok, even at 147 estradiol, she also thinks vagifem daily is safe? She also thinks tostran gel isn't a good idea...and I’m not sure what to think about my gyno..THANK YOU so so much whoever responds to me xxxxx