Hi Everyone, thanks so much for all the advice, really appreciated 
So can I use vagifem and ovestin at the same time internally or just vagifem up there and ovestin everywhere else?
I laughed about the time thing yes its a really time consuming thing!!!
Also did I understand right did you find that sex helped, sorry I dont know how to quote people from here but a lady said it I think? Any other tips gratefully received, I will have a think about the sea buckthorn. I use Yes moisturiser, maybe I will give the oil base a go!!
You don't need to use Vagifem and Ovestin internally at the same time, that would be overkill
You can use the Vagifem internally and the Ovestin externally. That's what I prefer to do. The Ovestin internally can be a bit messy because it comes out. It also contains chlorhexidine, which I'm not a fan of inserting into my vagina(!) because it's going to kill bacteria - including the good guys - and affect the microbiome. But it's good for externally if you have any discomfort.
And yes, sex (or dilators!) help keep everything functioning but it's got to be comfortable, you can't just make yourself stick things in there if it's hurting, that's going to do more harm than good. But once you've got everything feeling okay again with the local estrogen then putting stuff in there is going to help it all remain elastic and accommodating(!) - and orgasms also have health benefits, with or without penetration!
For sure I find the YES OB better than YES VM. It stays put for a whole day and everything glides about better. YES VM I just find wet externally and then it quickly comes off. But I like it internally, in the applicators.
