I use 'ovestin' internally and smear a little 'ovestin' or KY Jelly in the labial region. This keeps the vulval area soft and less itchy. Using 4 me when necessary. The idea is to plump up the vaginal tissues to ease soreness, light bleeding and the repeated urge to pee - VA mimics urine infection-type symptoms really, really well
Some use 'vagifem' internal with 'ovestin' or other mositorisors in the labia.
It's a small amount of active ingredient, designed to treat the effects of vaginal atrophy .