It is a long process, but you want to get it right. I started on 25mcg back in March and have only just made it up to 75mcg. At one time I thought my 50 mcg dose was too high, but then started getting more symptoms again. I wish it was quicker to get to the correct dose, but your body needs time to adjust! However, you can try other things too e.g. I couldn't believe what a difference vagifem made to what I thought were mild VA symptoms.