Hi nairncat - I don't know how the system works regarding recommending medications in Scotland but this is the reason given from the link you gave:
"The holder of the marketing authorisation has not made a submission to SMC regarding this product in this indication. As a result we cannot recommend its use within NHSScotland."
However clicking on the "detailed advice" the small print says this:
"This advice does not override the individual responsibility of health professionals to make decisions in the exercise of their clinical judgementin the circumstances of the individual patient, in consultation with the patient and/or guardian or carer."
In other words this recommendation does not have to be followed if you decide with your doc that you want to use it and give a good case? After all it is licensed in the UK.
Why do you want to use it?
I've no idea why Theramex haven't provided the information nor on whose initiative this should be done - but you could write to Theramex maybe or just prepare a good case if you want to try it and the reasons why you don't want to use the existing products ( Vagifem or estriol cream) and see how you get on?
Do let us know!
Hurdity x