I have some vagifem, Ive had it weeks now and dare not start using it, I wanted it to try help my nocturia. But I had so many issues with spotting on my hrt long after the 6 months. It has only stopped on half a 50mcg patch, phew. Im scared I will get spotting again from vagifem, though Dr says it wont, but if i do I will panic and get in state as last time they put me through the mill scaring me.