Hi Diannemarie........how are you doing on the Vivelle dot? I have tried 3 different patches (Climara, Vivelle, and Esclim) and have found that although the dot worked well....I was always feeling to see if it was still there....since it is so small and thin. It worked well for me though.....no headaches etc. I finally went with the Esclim patch (for now...lol) because is sticks so good you can hardly get it off. ( i want my money's worth). Anyway, delivery wise, the Vivelle dot and Esclim both get a thumbs up. The Climara patch caused severe headaches in me and wouldn't stay on. Hope this helps a little. Let me know how you are doing.