Hi MrsRoo, I'm in exactly the same situation as you, and it's absolutely miserable so I feel for you, I so wish I could be one of those women who uses vagifem or ovestin with success but sadly not, I used vagifem last summer for 4 months, but it caused migraine, stomach pains, and made all my symptoms hundred times worse itching, swelling, burning to unbelievable levels and my bladder got so bad I felt depressed, I stopped used nothing and felt better, but all original symptoms came back, so gp gave me ovestin and same thing happened so I stopped again, some people can be sensitive to the fillers so increasing could make your symptoms worse, I would tell your doctor difficult I know to get appointments right now, but it would be wise to consult gp, there is a weaker cream a 0.01% instead of the 1% ovestin, there is also a ring that lasts 3 months and doesn't have the fillers so might be worth a try, my gp put me on amitriptyline 10mg at night and things have improved for me but not cured, I'm going to try the ring when I get to speak to gp, it's by far the worst of menopause symptoms it's all consuming because you can't get your mind off it, I hope you find relief with maybe one of the other options, good luck.