This is something I have been suffering from for the last couple of months and it's driving me mad! I've tried anusol and hydracortisone, both of which help initially but then it just comes back again. I must admit I have put off going to the GP hoping I can sort it out myself but not yet. I use vagifem every other day, and I use 100mg utrogestan nightly vaginally and a bit of Ovestin externally couple of times a week. I have done this for a year now and had no previous problem but I did wonder if one of these might be causing some sort of reaction now if there is a bit of discharge or fillers etc. I am contemplating switching from Estradot 100/Utrogestan to Evorel Conti patch to avoid having to use the utrogestan vaginally in case it's that. Any advice please?