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
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!