Hello Pinkprincess,
So sorry to hear about your VA. I have also got this and it is a most unpleasant thing to have. It is no wonder your symptoms have returned if you have not been given enough Vagifem, so I hope you have better luck with the GP you see on Friday.
Assuming that Friday's GP is a bit more clued up, I would like to suggest that you ask for some Ovestin cream to rub in externally, alongside of the Vagifem for internal use. (I am using Ovestin both inside and out, and it seems to be working for me, although it has taken a few months.)
As to vaginal moisturisers, I believe the Yes products are supposed to be the kindest to the vulval and vaginal areas, and a lot of other ladies like Sylk. The one I have got is Yes VM and it works a treat. However, if Vagisil works for you then stick with it!
There is some shocking ignorance amongst the medical profession about this condition. I was originally sent down the dermatological route when mine first presented, which was fair enough I suppose. However, with the aid of the advice on MM, and reading the experiences of other VA sufferers on the forum, I was able to convince the dermatologist that my problem was due to oestrogen deficiency. I had already switched from hydrocortisone ointment to Ovestin with the approval of my GP, and she admitted this was the right thing to do. Even so, in a letter to my GP she expressed concern over the dosage I was on (3 week initial load up, then every third night, and externally as required), and stated that "the recommendation is to reduce to one application twice weekly and discontinue every 2-3 months for 4 weeks". Of course I wouldn't dream of doing any such thing. She had only to look up the NICE guidelines to see that one should not discontinue treatment.
So good luck on Friday Pinkprincess, I will have my fingers crossed for you.
Love,
JP