I’m one of the lucky ones who doctor allows me to use both Ovestin and Vagifem.
My pain is external, I’m currently using Ovestin externally 5/6 nights a week
Ovestin internally two nights a week
And Vagifem 4 nights a week.
Good luck, I’ve had virginal atrophy for over two years now, and it’s not unusual to do well than have a flare up.
I had at least five flare ups last year