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[Lily35]

Hi all
Been struggling with VA for a couple of years now.  I have been using topical, first Imvaggis (load then 2 or 3 times a week), then added in systemic (on 3 x sprays of Lenzetto),  had a bad flare up so changed to Vagifem internal/ovestin external 6 months ago.  I have been using the Vagifem daily as I have never managed to reduce the dose.  I am still never 100% comfortable, although more good days.  Still having flare ups and also bladder soreness too now.
Have asked for a call with my very good menopause nurse.  She mentioned intrarosa previously.  However I am thinking of asking to increase my systemic HRT instead or change product as I know the Lenzetto is suspected to be weak.
For those who have had VA improve with systemic what do you take?
Thank you

[Lily35]

Please do not reply as posted 4 times!