Im on one and half pumps per day that works well for me. When I cut back though I felt awful, very wired up and not good at all. How many days per month are you using the Utro 100mg? I use for 12 days per month, vaginally, supposed to be 200mg but I found them too heavy so cut back to the 100mg. Perhaps if you use the gel @ night, it will be better? I found with messing with my Utro and skipping a day, I got breakthrough bleeding so just watch for that Juliekim, as Suzy says, can the pharmacy not rather give you 2 pkts of 100mg, that will be much easier to get the correct dosage?