Thanks for replying. I had a recent pelvic exam and everything seemed fine. Shorty after my initial post, I went back on the Vivelle-Dot and had only mild spotting after three weeks. That week I had forgotten to change my patch for several hours after I should have. So the Vivelle -Dot seems to have alleviated the symptoms. The difference in cost for me is $120 versus $20 for a 3-month mail-order prescription. I am willing to pay $400 a year extra for the lessened symptoms, but others might be financially unable. I have heard that some women change their weekly patch every 5 days with their doctors' approval and the approval of their insurance companies.
HI,
It is true that bleeding can occur because of withdrawal of hormones. But this is happening too frequently. Hence before you switch over to another HRT you should consult your gynaecologist to rule out local problems which can cause bleeding like cervical erosion, polyps, fibroids etc.
Hope this helps.