@kathleen1314 Still waiting for blood tests. The medical center I went to is more of an aesthetic clinic. The employees are all Mds or Np's. They do surgeries, so I guess they are medically trained. What they are suggesting is a pellet that is put under the skin and replaced every 3 months. I know an 80 year old seeing them and is doing well with topical creams. Leaning against pellets and hoping they will consider creams till I see if the treatments agree with me. Would be tough to dig out a pellet if I had side effects. I am told vaginal doesn't become systemic.