....actually CLKD, I didn't have VA. After stopping Premarin I was prescribed Vagifem due to having thinning and splitting skin just below the urethra. However, I was advised to stop all forms of HRT when I had my breast reduction. Since stopping vagifem I haven't noticed any worsening symptoms, and have been using a plain old cream called Doublebase gel, and coconut oil which I find works wonders!