Hi Bertha
Do stop using Eumovate as this could well make things worse. Have your tried a bit of coconut oil? this is a natural moisturiser and may sooth things.
Here is a link to the section on this site that shows all the treatment for urogenital atrophy:
https://www.menopausematters.co.uk/local.php Urogenital atrophy
Here is the section from the NICE guidelines on treating urogenital atrophy:
Urogenital atrophy
1.4.9
Offer vaginal oestrogen to women with urogenital atrophy (including those on systemic HRT) and continue treatment for as long as needed to relieve symptoms.
1.4.10
Consider vaginal oestrogen for women with urogenital atrophy in whom systemic HRT is contraindicated, after seeking advice from a healthcare professional with expertise in menopause.
1.4.11
If vaginal oestrogen does not relieve symptoms of urogenital atrophy, consider increasing the dose after seeking advice from a healthcare professional with expertise in menopause.
1.4.12
Explain to women with urogenital atrophy that:
symptoms often come back when treatment is stopped
adverse effects from vaginal oestrogen are very rare
they should report unscheduled vaginal bleeding to their GP.
1.4.13
Advise women with vaginal dryness that moisturisers and lubricants can be used alone or in addition to vaginal oestrogen.
1.4.14
Do not offer routine monitoring of endometrial thickness during treatment for urogenital atrophy.
Print off all this information to show you GPAll oestrogen treatments have to be by prescription but the moisturisers aren't always available on prescription as this depends on the health authority but it's well worth asking for SYLK or the YES products. You can buy all intimate moisturisers online. Many women do not get on with Repens very well.
If you print this off with information on the NICE guidelines, then this should help you persuade your GP to address your problems a bit better. I would write down all the your symptoms and questions and actually show these to the GP, as I find this makes them address the issues I want sorted. Cortisone creams are really not a good idea if you have atrophy as it could make things worse.
Has Lichen Schlerosis been ruled out or any other skin condition? Has your GP actually examined you to see how raw and sore you are? Have swobs been taken to see if there is bacteria or thrush present as this could cause the itchiness. It can be a vicious cycle with itching - the more you itch, the worse it gets. If there is a bacterial infection (often emerges when menopause hits) then this will cause itchiness. I use Multi Gyn Actigel (available online but not on prescription) if I get itchy, as this will treat and prevent bacterial vaginitis better than antibiotics - it can sting at first but is then quite soothing. You shouldn't use Multi Gyn too much though as it is rather acidic and is only designed to restore the flora balance and help the body fight the infections - vaginal moisturisers and Vagifem help to maintain a healthy environment.
Antibiotics will kill all the good bacteria in the gut and this can then cause more vaginal infections. Cortisone creams will thin the skin and can result in things getting worse - also the more you use it the more you need!!!
Do clean really well after opening your bowels as this is often how bacteria gets to the vagina.
It is a minefield and its about managing your whole urogenital area. Avoid alcohol, caffein and fruit juices as these are all irritants. Cut out as much sugar as possible.
I think a referral to a gynae to have things properly examined and advice given is possibly a good idea.
Good luck. DG x