That's correct. One doesn't take them by mouth, they are 4 use into the vagina. Every night for two weeks in order to plump up the vaginal tissue then a maintenance dose. This is recommended to be every 3 or 4th night and every 5 or 6th night. Some ladies need the dose every night.
Has you Dr or Practice Nurse done an internal examination? I had a polyp which bled on contact. This disappeared at peri-menopause. Maybe you have something up there that is causing the blood? How are you periods, regular?
As oestrogen levels drop off the body may become dry: skin, nostrils, deep in the ears, vagina as well as causing muscles to become lax = aches and pains
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Did your GP suggest that you return to see her B4 she prescribes the next box? This if it works for you will be required for a long time.