Hi there,when I first started taking vagifem, I had back ache,nausea and a few other things but was told that with such a small topical dose,this shouldn't be down to the vagifem,could it be coincidence? I stopped taking it for a while and felt a bit better but obviously the VA came back,so I started taking it again and was fine second time around,so it really is a guessing game whether it's down to the ovestin or not,I still find sex a bit painful but not nearly as bad,could you ask for vagifem? May suit you better?