Thanks StellaJane and Paisley. Over a number of years I have tried all different types if hrt, this is the latest. I have had to go private because I knew myself that I wasnt getting enough oestrogen even with 1.5mg Sandrena gel but my NHS gp wouldnt go higher and she wouldnt test my blood levels of oestrogen either. The private menopause doctor im now seeing did bloods and yes my oestrogen levels are low, as are my testosterone levels. So she put me on the pump gel as its easier to increase and alter the levels. She put me immediately on 4 pumps a day which I think is equivalent to 3mg oestradiol, and she put me on 0.5ml testosterone cream. Im wondering if I should change to applying them on my arms instead of the thighs.