I did mention to him that I was using an estradiol troche and then he also prescribed the cream.   When I went to the pharmacy to get both prescriptions (the troche was already set for pickup), the troche had been discontinued in place of the cream.  He did not mention that was going to happen or whether or not I should do both.   This created a lot of confusion in the pharmacy.  They messaged his office and after some time, I was told they had not heard back, so I had to then call to get things straightened out.  This wasted a lot of my time.   When I finally got the prescriptions, it still did not indicate if I was to do both and if I could use the cream externally, which is what I discussed with his office.  So, now I have had to reach out to the office two more times to get an answer on this.  Also, patients should be told by the provider prior to them touching you.    
AMB Ob/Gyn