Hi, I really feel for you right now, I don’t know your local situation re doctors but is there someone else in your practice you can see? Or is there another practice nearby you could switch to? If not then you can go down the complaint route or try and get a private consultation which could be done online if you’ve none near you, they may then be prepared to tell your gp what to prescribe. Many of us live with VA and are in peri and have local oestrogen from our GP so yours is particularly behind the times, I am not surprised you feel so frustrated, but we are here and know how it feels. Keep pestering your gp, keep a diary of symptoms, and take along a copy of the nhs guidelines on va to your next appointment.