Glad you are feeling better, and hope that continues
I haven't read all of this thread but I think for those women like yourself ( I think?) that take ADs which prevent/treat hot flushes - as Taz said below - you probably thought you wouldn't get any other symptoms.
So the hot flushes alert most women to menopausal problems and therefore are already looking out for some of the other symptoms - which can come later - in post-menopause.
I would urge (maybe the wrong word to use....) any woman in this position (on ADs, no hot flushes) to consider this (vaginal atrophy) especially if likely to be post-meno, as using vag oestrogen long term will prevent a whole host of problems.
I use Orthogynest pessaries (except when using vaginal Utrogestan when I use Vagifem) and actually prefer them to Vagifem even though they are bit messier. You can always increase the frequency of using them if you find your symptoms are not controlled.
Hurdity x