After years of vagifem and terrible dryness/pain/misery, have now switched to daily Ovestin and the difference is amazing. The vagifem did not melt properly and so did not moisturise properly either - just left a sticky goo. Now I use Ovestin at the maximum cream I can fit into the applicator and use at bedtime. I apply as high up and as close to the cervix as as possible and the cream slowly absorbs and moves down which helps both inside and out. I’m also on Femonston Conti at max dose but that only gives 1mg of oestrogen which on its own is not enough, but it’s the only HRT preparation I can tolerate. I also bathe every other night and add Bath oil into my bath - so that the area gets a good moisturise in water & I now make my own Bath oil with plain oil to which I add calming essential oils like lavender.
It’s taken me years of trial and error, and a lot of pain, to get to this level of comfort and I still get flare ups so I hope this helps others. I also posted recently on which shower/both products work well - makes a huge difference as even a little bit of the wrong shower gel can set me off again with dryness and then thrush. The other thing which also affects it is laundry detergent. I can only use non bio Bold capsules - Ariel and anything Bio is the worst of all.