The vaginal estrogen is doing okay for me. I don't have any discomfort but I use alternate nights. The ovestin for vulval atrophy has made some difference after nightly for 4 months but nothing like as I was before. I hoped I'd get some reversal. It's actually put me off being intimate, I feel self conscious and stopped meeting the man I was friends with.
Estrogen will reverse atrophy by stopping the dry, burning and soreness inside the vagina and the vulva. It can reverse prolapses with the help of physiotherapy, also bladder issues, like needing to go for a pee all through the night and the feeling of having UTI's. It will also make it possible to have sex again without pain as you will feel moist again and the tissue will be hydrated and plumped up.
But any shrinkage and loss of labia and clitoral hood will not grow back or be reversed. Narrowing of the vaginal canal can be improved with estrogen and dilators.
This is why treatment should be started as early as possible, too many women are embarrassed to see their doctor or in my case and many more, had no idea what was happening as I'd never heard of atrophy.
Local estrogen is for life, it's treating an estrogen deficiency.