Paisley, that spray sounds very interesting, I will try and buy some.
Re gynaecologists, it's difficult to say because it depends which system you are in. I have never used the state health system in Spain only a private clinic through my health insurance which is completely different - as you know, it is a two tier system in Spain and the two are completely separate. The clinic I use is very good with all the very latest equipment and all the gynaecologists do the transvaginal scans themselves. Mammograms are always followed with an immediate ultrasound scan so you don't have to wait for results or you can just opt for the breast scan and you can have as many blood tests as you like. Nobody ever said anything to me about only being able to take HRT for 5 years but as suziq99 said, you can buy HRT over the counter in Spain anyway so it's less of a problem.
I would definitely give that spray a try, it sounds very interesting and hopefully you will notice a difference.