I hate how we have to fight for HRT due to uninformed doctors. I had a similar experience, where I wanted to go back on HRT after a 2.5 year break, but the doc told me I couldn’t as I’m now ‘through the menopause’. She was giving me outdated info regarding the risks and length of time we can be on HRT. In the end she gave me a 4 week supply just to shut me up.
I did put in a formal complaint with the practice manager, who was brilliant, and got me an appointment at another practice with a dedicated HRT nurse, who is really clued up and brilliant. I would do a bit of research, look at British Menopause site, and have a good look around on here so that you can be armed with info for another appointment.
Regarding the VA, I found that Vagifem helped a little bit but not enough. Sex was always painful, with bleeding after due to trauma. YES products helped a bit too. But now I’m back on HRT which includes the Vagifem, patches and pills, I can have spontaneous intimacy.
Good luck, and don’t give up.