Morning Wildeve
Yep....I have similar 'story' to you whereby my symptoms worsened 8+yrs after menopause. Been using Vagifem for about 10 yrs but then vulval itching/burning got so bad I couldn't wear knickers, I also wasn't sleeping well. Went to gp in Feb, she was very good, listened to my woes and agreed to give me Oestrogel and Ultrogestan along with some steroid cream for the vulval itching (did examination to check nothing wrong).
The HRT sorted my sleeping issues and other symptoms and the steroid cream gave a most welcome immediate relief from the vulval itching/burning. I do find I have to use it every week or so, but I use so little and it keeps me comfortable that I figure it's worth it. I use vagifem every other day too.
Here's hoping the steroid cream works for you too
Sue