Hi Alysonw1
The difference is that Imvaggis is a waxy pessary containing estriol and Vagifem is a small hard tablet pessary containing estradiol. Both are oestrogens and they will both do the same job but also with different fillers and to some extent it is a matter of preference - and how your body reacts.
I presume you have been given sufficient for the "loading phase" - which is nightly for 2 -3 weeks followed by a maintenance dose of twice weekly (depending on your instruction leaflet or prescription)? With severe VA, nightly use can be extended and the maintenance dose can be more frequnt - with approval from the doc.
Depending on your symptoms you should start to see an improvement fairly soon - re dryness and itching - if these are your symptoms?
Maybe you could tell us a bit more about yourself, where in menopause you are, what your periods are doing, and what you hope the Imvaggis will do for you? It's a new product to UK and I think you're the first on here to be given it - so we will be very interested in how you get on!
There are also creams and moisturisers that can be used later on the days when you don't use the Imvaggis. Have a look at the info on the menus about vaginal problems and treatments and there are articles too here:
https://www.menopausematters.co.uk/article-vaginal-atrophy.phphttps://www.menopausematters.co.uk/pdf/article-gsm-issue44.pdfHope it works for you
Hurdity x