OK - It may take a while to ease VA symptoms so keep up with the 'vagifem' - 2 weeks then as often as required, some need it nightly. Use one product on the outer labia, perineum and anus. Maybe ask 4 'ovestin' for that or Sudacrem ....... Vaseline ........ KY Jelly . 1% Hydrocortisone shouldn't be used for very long, twice a day for 5 ........ what ever you decide upon, use it often, every hour if necessary and certainly prior to inserting the 'vagifem'.
Do read the VA and bladder issues threads here.
Because the skin in that area mayB thin it will sting a bit!