Suzi, I use Estrace cream as needed, but at least twice a week. Many docs advise using it with the tip of your finger rather than applicator as you may need it on the peri area as much as the vag walls. The lower third of the bladder has lots of estrogen receptors so I cover the urethral opening as well. Its not a big deal, just slap it on on inactive nights or after and forget it. It is pretty much absorbed by morning. It is a bit stronger than Vagifem, but not hugely so - it just covers where you need it better IMHO. Don't panic, it will be ok. These well-respected doctors that Susan refers to in the video I posted said they expect and see REVERSAL of vaginal atrophy. I am way post meno and look ok down there. Do have a damn prolapse after going off the ERT after that bad study. Never a problem before. When I went back on it went away for a few years and then slowly returned, but is still manageable. It's the hot burning that did me in and that is gone. I also use a UK internal stim machine for VA and prolapse and it has programs for incontinence that I don't need.
It stimulates the whole area in what I have to call a non sexual way - it's more like a PT therapy or actually it is a physical therapy thingy. It has helped as well.