Sorry to hear about you issues Oliversut01
Looking back at your posts I'm guessing you must be 60 by now? That being the case, just to add re previous post here is what the product says re Tibolone over 60: "For all women the decision to prescribe Tibolone should be based on an assessment of the individual patient's overall risks and, particularly in the over 60s, should include consideration of the risk of stroke" - so depending on your general health, weight etc this might not be an advisable option.
As Bomb says - maybe Estring would be more suitable as it delivers a dose of estradiol directly to the vagina of approx the same order as the previous 25 mcg maintenance dose of Vagifem before it was discontinued some years ago.
Hurdity x