Kate, my GP prescribed Vagifem and told me categorically I could stay on it as long as I needed/wanted. She said a year of twice weekly Vagifem was equivalent to one HRT tablet !
Its very worrying and concerning that different GP's are giving out very different advice regarding its usage and duration. I would definitely print out the NICE guidelines and take them along when you next go. My vagifem is on repeat and I can order it up as and when I need it. I saw another GP in my practice recently about recurrent UTI's and the first thing he recommended was .................Vagifem, which of course I am already on, he said it was the Gold Standard for urogenital atrophy. He prescribed low dose Trimitoprim but I haven't needed it so far.