VA ...nightmare, mine started suddenly a year ago, I'm on HRT, (Mirena, and oestrogel) also have estring internally, and use estriole/ovestin to external skin.
Emu oil is far better than coconut oil in my opinion, much richer and helps to improve skin quality.
I also had a course of Mona Lisa laser treatment which helped restore moisture and colour and skin quality is far bette, but even with all that, flare ups still happen occasionally, then it's what to do?
Suffering at the moment, mine is externa skin too rubyjo, and includes the skin around my bottom.
Lidocaine does offer some relief, but other than that I just apply the emu oil moreand hope it will settle down....I find the ovestin/estriole cream can help externally, but it can make the soreness worse for me, and cause rashubess around my bottom, struggling to come to terms with this is for life!....what to do past 60when HRT in no longer recommended 😢😢