Thank you MrsMitch, all good information to have. I didnt go onto HRT until I was 58 as I was scared. My mother had a DVT and I had endometriosis. It wasnt until I was being referred to so many 'ologists' for different symptoms and a Dexa scan that I decided to take the plunge and chance it. My estrogen levels were non existent and I didn't absorb it when I first went onto patches. Even now on 4 pumps of gel I have only reached 310 on two separate blood tests. GP says not to increase and 310 is an acceptable level, despite aches and pains and night sweats. It could well be no estroge at all that caused the fusing, however I had this year noticed a silvery/whitish hue on an off whilst trying to navigate VA. I am stopping the steriod cream, there is no evidence of the LS since I stepped up the steroids but now I am too sore to continue. I emailed the dermatology secretaries earlier to ask for advice in the meantime.
Thank you again. I think for now its just emollients and no pessaries or steroids unless my GP allows Vagifem back into my life!