Ahhhh! If you are that post meno, then what you are experiencing could well be everything waking up with the oestrogen - and this is not a bad thing. When I started back on systemic HRT after a one year break, I got all sorts of tingling, aching and itchiness around my intimate area - the gynaecologist described this as “ the body waking upâ€. I suspect your atrophy may have been quite advanced so now that whole area is going to take some time to plump up and start to be more resilient again. Oestrogen deficiency makes the skin thinner and more sensitive, it doesn't heal so well and will also react more to all irritants. It may take some weeks for your intimate area to restore so you've got to be patient and use Vagifem for the long term.
IT might be wise to do every other day for a couple of weeks once you've done the 2 week load to really get the full benefit more quickly. I've even heard they are giving ladies in their 70s-80s Vagifem because they keep getting UTIs!!
If you are awake at 5am to use the Vagifem then I'm not surprised you are feeing tired and stressed. I still think using it at night, taking a Nytol and then getting a good 6-7 hours sleep ( even if you have to get up to pee once or twice) would be far better than setting the alarm for 5am to use the Vagifem!
You sound so tired and stressed - I think you need more quality sleep to be able to get through this.
It might be worth considering something to help with anxiety - did you discuss this with your GP? DG x