Sorry to hear about this Tc - how frustrating for you. From my knowledge of how it works I would suggest you don;t need to do a re-laod with Vagifem. After all both products work by increasing the maturation of the vaginal tissues, and lowering the ph of the vagina (in a nutshell) which in your case is being achieved through estriol ( which is acting to do this mainly through different oestrogen receptors than estradiol). Therefore if you feel that your VA at the moment is controlled, then in your position I would switch straight to maintenance dose of twice a week.
It quite clearly says on the emc website ( electronic Medicines Compendium) which "contains up to date, easily accessible information about medicines licensed for use in the UK" that the maintenance dose is twice a week so although you have written to the manufacturer - this should not be necessary as your gynae clearly is not following these.
Here they are:
https://www.medicines.org.uk/emc/product/5719/smpc"Initial dose: One vaginal tablet daily for two weeks.
Maintenance dose: One vaginal tablet twice a week."
The dose is already much lower than the discontinued higher dose one (of 25 mcg) so 10 mcg twice a week is an absolute minimum.
Just to remind us though - I am sorry I can't remember what sort of cancer you suffered from? I think your gynae is being very cautious on your behalf? I haven;t read all the thread....
Hurdity x