I don't think it's too much oestrogen, as the Vagifem and estriol are only local treatment, not absorbed systemically. I am 70 and on 5 Vagifem per week plus estriol cream, and use a 100 mcg Estradot patch. Yes, VA does take over your life until you get it under control. That can take quite a while for some, myself included, but it's much better now.
JP