Originally Vagifem was prescribed at 25 ?? then the amount was dropped to 10 ?? [can't remember what the product is measured in]. It is delivered into the vagina in a different way than Ovestin which is via an applicator which needs rinsing between use.
Vaginal Atrophy mimics urine infection-type symptoms really really well ......... dryness can make the area itchy, it can in the worst cases cause the vagina to require surgical intervention in order to part the internal lips. So once we feel dryness or that it itches, we need to begin lubrication. For years I used KY Jelly as soon as necessary, then the VA began with intermittent urine-type symptoms but my GP recognised it was not infection but dryness.
Because hormones are up and down; and probably due to the vaginal area not getting the TLC it probably requires, it is important to use what ever it takes to keep it moist without it dripping ;-). That is, inner and outer lips, bottom if necessary. Inbetween using the product some ladies find 'sylc' and/or 'yes' products of use.