I was told they don't recommend using bith ? I don't know what to do. Maybe wait until I see urologist on 3rd December?
They don't recommend it because they don't know, not enough research has been done with some GP's knowing very little about the condition, although I do think things are changing mainly due to nurse practitioners taking more of a role in HRT training.
When I changed surgeries my new GP questioned why I needed both Vagifem and Estriol cream every day, once I explained my history and the fact the cream lasted me three to four months he was happy to prescribe what I needed.
Try and be more proactive, difficult I know when feeling so down but being in great distress because of your symptoms it should give you the strength to start demanding more treatment for your condition, its what I did when Vagifem alone wasn't working.