WaityKaity - what progestogen are you using in addition to the Oestrogel? Is a withdrawal bleed due if you are on cyclical HRT? Could this be the cause of the feelings of pressure?
If you have a heavy feeling towards rectum could it be a prolapse of some sort? Aside from your VA and the treatment thereof, a full feeling and/or pains in the rectum are not likely to be a hormonal issue and at least whatever the cause we can't guess for you so I would go to the doc to have a check-up in case there is a bowel issue and you are not constipated.
Any increase in Vagifem dose should be discussed and agreed with your doc. Also Vagifem irritates my bladder the day I use it but doesn't give rise to the other symptoms though.
Hope you manage to get to the bottom of it
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Hurdity x