Hi Postmeno3 - I have now been using Intrarosa for just over two months, and it has made a big difference. I also use Ovestin now twice a week externally, as I think I definitely need that. The gynae did say I shouldn't use both long term, but I'm not sure why as a lot of people do seem to use both Vagifem and Ovestin long term. I had Intrarosa prescribed privately, but have got it added to my NHS repeat prescriptions now. I believe a lot of health authorities are reluctant to approve it because of cost, but I think more are doing so now. Yes it can be a bit messy to use (ok during the night but need a panty liner during the day) and the extra discharge seems to irritate my vulva sometimes, and on those grounds I may try Vagifem again in a few months' time to see if healthier tissues mean that I can tolerate it.