How often are U using the vaginal atrophy treatment, some ladies require application every night. I use 'ovestin' internally with a smear around the labia region, others use 'sylc' or 'yes' products. 1 cannot over dose on VA treatments ;-). I know that some insert 'vagifem' as well as using 'ovestin' externally.
Occasionally other forms of HRT can help atrophy though localised treat3emtns directly into the vagina have been a saviour for me!
Have U seen the gynae previously about this issue, is he/she au fait with peri-menopause? Let us know how you get on.
Burning mouth syndrome: if there is sodium laurel sulphate in your paste it may cause burning, 4 me it's bananas, chocolate or tea that is instant.
As oestrogen levels drop the body may become dry, inside and out.