Hi and welcome to MM Scottishgirl
I believe that all women should be given Vagitem once they reach menopause and it should be used for the rest of our lives. It would help to prevent all kinds of problems. The risks are very, very, very small but the benefits are great.
If you have had a hysterectomy, then some systemic oestrogen might also help - a bit of Oestrogel daily could be very beneficial and also very safe. I believe it is actually beneficial for women who have had a hysterectomy to have some systemic oestrogen, as research has shown a reduced risk of developing breast cancer. It's the combined HRT with progesterone (for women who still have a uterus) that carries a small increased risk of BC, if still using HRT beyond the age of 60.
Oestrogen protects the heart and bones, reduces urogenital atrophy and can protect from bowel cancer!!!! There are risks with any treatment but doctors rarely tell women about the benefits of HRT!!!!
If I were you, I wouldn't let them take your Vagifem away from you - keep using it for the rest of your life. DG x