Hi.....I also have the vaginal issues. I have been on HRT almost a year now , it has helped a lot ( still room for improvement) give it time , it can take a while to work especially in the vaginal area.
Don't " look" for it causing issues , remember our bodies are heading for shutdown regards our hormones , we go on HRT and we are sent back to our,younger years and it can be a shock whilst our bodies readjust to the hormones.
If possible have a good brisk walk everyday this helps anxiety.