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[Brit66]

Ok will continue emailing specialist until she asks for more money then if things haven’t settled will book appt at local well woman clinic
Your advice has been amazing Brit66 and Uptick so thank you ! Here’s to a good weekend !

You do what's best for you-your menopause-your way! You're so welcome, thanks for your support too, have a great weekend! 

[violetbat]

I am not a good absorber hence the 4 sachets! I gave patches a trial of about 2 weeks which unknown wasn’t long enough but they made me very depressed, anxiety was through the roof and just felt awful!
This was the reply from my specialist:

absolutely not on arm -it drains to breast lymph and that  is not advised
I wouldnt put it all on in one go as it needs an hour to absorb so  you wait an hour and reapply the second lot but not all together
too much for body to absorb

This is why it’s confusing for me and I do read into things 10 times over which doesn’t help my decision easier!

well i don't know where to put it then as I get no result from putting it on the in
side of my thighs, none at all
I am really appreciating your replies Britt66 and Uptick so thank you

Thanks for sharing the info from your specialist about the dangers of putting it on your arms, that's really important to know!
Did you say that you are paying a lot of money to see your specialist? Do you live in the UK? If so, I'm just wondering if there's any way you can see your own GP or be referred to a gynaecologist? Take the pressure off you a little? 

[Uptick]

This is what I've found about lymphatic drainage of the upper limbs.

https://teachmeanatomy.info/upper-limb/vessels/lymphatics/

Practically all superficial and deep lymphatic vessels drain to the lymph nodes in the axilla (armpit) .

If you think that lymph fluid flows in one single direction towards the nodes and from there to the bigger lymphatic ducts, which have valves to prevent back flow of fluid,  that would mean estradiol coming from the arms couldn't reach the breasts via axillary nodes, BUT that's not the case, because 'Valves are found in larger lymph vessels and collecting vessels and are absent in the lymphatic capillaries.' https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Book%3A_Anatomy_and_Physiology_(Boundless)/19%3A_Lymphatic_System/19.2%3A_Lymphatic_Vessels/19.2A%3A_Lymphatic_Vessel_Structure

So, in theory, estradiol inside upper limb lymphatic capillaries could reach the breasts via back flow from axillary nodes, BUT lymph nodes afferent vessels (that directs lymph into the node) have a valve to prevent back flow, so, in practice, estradiol couldn't reach the breasts, unless there's infection or inflammation going on which could cause swelling of the nodes and disturb the dynamics of lymph flow.