Hi, I now use Vagifem pessaries, started 12 days ago, I do use estrogel and utrogestan but was having vaginal issues ie pain, dryness, very sore; it was just getting worse and I didn't want to increase the estrogel, I asked my Dr for a prescription and I can say that so far the result has been amazing, I wish I had started using last year, it had got to the stage where I was avoiding sex due to the discomfort, can't believe I was lazy and did not use before; I am 57 and it became a sue that I noticed I think approx 2 years ago.