Do not undergo hysterectomy unless absolutely necessary! Your GP should refer you to a meno specialist if the Gynea doesn't know enough about HRT etc.. If you have hysterectomy you are out of his hair! (? cynical - moi ? ). You will need more HRT if you have such radical surgery!! so what would he recommend prior to surgerical intervention!?! [pity I can't spell ..... ]
Have a browse round, make notes. Think about which symptom you would like to ease most of all.
Vagifem used to be delivered in a higher dose so maybe double up on alternate nights, or ask for
Ovestin1mg instead. Used in the same way for 2 weeks then every 3/5th night though I adapt treatment as required to keep symptoms at bay.
Replens is a moisturiser only, it won't re-plump with oestrogen as the products above are designed to do. There are ladies here that struggle, hence the advice. I also use
KY Jelly inside and out to keep things moist and supple.
As oestrogen levels drop so the body dries up = VA, itchy nostrils/ears/skin and also, muscles may become lax = aches and pains. It's The Change tha' knows
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
Do avoid surgery if the main problem right now is vaginal atrophy! because it can cause more problems than it solves particularly regarding HRT requirements!