Thank you very much for the NICE guidelines Dancinggirl. I have not had any investigations or referrals, only had 2 different lady GPs and one male GP look at my bits and advise me that I am not suffering from atrophy and that because I have regular periods I have enough oestrogen. I guess my symptoms are not severe enough, and having read what some other poor ladies have had to suffer through I can see that I am not suffering that badly. It is only really sexual activity that gives me bother. I have tried just about every lubricant ever invented, and have tried Sylk, which is good, but I prefer YES, to me it feels natural and soothing and it doesn't irritate in anyway. I use the water based one, I think the oil based may have given me an infection.
I should have mentioned that I am in Scotland, I don't know whether the policy in Scotland is any different to that in England as regards hormonal treatment. I have not long since been to the GP and been knocked back again, I can't really face going back again so soon, even with the NICE guidelines, I have had the indignity of explaining my problems and having to take my pants off and have my "bits" looked at just to be told that they "are fine". I may need to wait until my periods stop completely which surely will happen soon and for the atrophy to get worse, which it most certainly will.