Thank you for your responses Ayesha, sheils99 and CLKD.
This was an urgent GP tel. appointment - I didn't know the GP. I told her I was bleeding on HRT after 6 months - I had to explain this was normal in first 6 months. She asked if she could ring me back in 5 minutes - I assume to find out what to do! I told her I'd cut my Estraderm 50 patch by 3/4 to reduce the oestrogen as I was feeling a bit nauseous anyway. She didn't acknowledge that but told me to stop everything.
Thank you for your advice sheila99 re systemic HRT. I've already stopped my HRT as advised by the Surgery. I don't know at the moment what to do about that. Will sort it when get results through. As you say, I'll either have to try Utrogestan vaginally or get the Mirena. It's 'wearing' being on tenterhooks looking for spotting every day. My main reason for systemic is the VA and Osteopenia and I also had a lot of Muscle pain/spasms in the past but had no idea this was lack of Oestrogen. I am 58 - last period around age 43.
I'd read local was ok on here while bleeding investigated so I queried the local as it's not a risk - she said everything a risk and mentioned cancer. Basically, frightened me to stop! I had this last year, the ultrasound showed a polyp and I had a hysteroscopy. The surgery made me stop local treatment last time as well and the burning soreness got worse. I don't want to go back to square one. I have continued with the Ovestin externally. I'll use a Vagirux tonight, hope my results come in the next couple of days, and get guidance on using Vagirux from then on - from here please as there is nowhere else!
As many say, this site has been invaluable - I don't know where I'd be if I hadn't stumbled across it.