Yeah, I've had an Estring in for years and am reaching the conclusion that it isn't enough as things deteriorate down there, as they will. It has been amazing, easy and helpful re utis etc. However, it's placed very high and I'm realising it might be needing help lower down? I know even Vagifem is recommended not to be inserted too high. Perhaps Ovestin or Estriol cream would support you additionally or Imvaggis. I've decided to push for systemic HRT for a number of reasons or something DHEA supportive like Intrarosa. Work in progress here, but moisturising with YES helps a little meantime. I am also finding Sea Buckthorn help with the vulval area. Maybe something here to help you. Hope so. Good luck! Let us know how you get on.