Katejo, do you mean that you have been using the vagifem 4-6 times weekly/daily? So many say the same; that twice weekly isnt enough. Why is this the recommended dose then? As if we don't have enough to deal with during this godforsaken time 
Yes that's right but have reduced it slightly now. Trying to use it alternate days (or about 4 times a week) but, if symptoms flare up, I have once or twice used one before bed and another the following morning. I am sleeping better now that I don't have to get up to go to the loo during the night as often. Occasionally i have to get up once but not more. Most nights I am sleeping through.
I started Vagifem to prevent UTI's but didn't know that I would get the benefit of less frequent loo visits.
Initially I had a supply problem re. getting prescriptions and that may not be 100% resolved. I need to request a new prescription very soon.