Good advice from Avalon I'm sorry to hear you are still suffering. Was full HRT offered to you? I see from previous posts that you are also suffering from night sweats and as your age is only 49 then you are young to be this low in oestrogen. Lots of women need both topical and full HRT to keep vaginal atrophy under control. Oestrogen is important as, up to the normal menopausal age of 51/52, it protects both your heart and bones. Would you consider it?
Taz x