I've recently started using Ovestin externally for soreness and itching all around the vulva. I really don't understand the mixed messaging about it. On the one hand it's talked about as something safe even for people who can't use systemic HRT, on the other hand the information leaflet lists the same side effects as if you were taking HRT in tablet form. I'm untroubled by this as I'm already on Kliovance but how confusing it must be to some women who are fearful of side effects.