I've had this for some time and have been managing with a vaginal moisturiser, which hasn't been particularly successful. Last week I saw a nurse practitioner at my surgery, who examined me and was concerned about how inflamed and sore the tissues looked - vulva and labia. I'm now using a steroid cream twice a day and see the doctor in two weeks for a review of the situation. I was told that it's possible he may refer me to a specialist.
I originally declined a hormone based cream as I was concerned about the risk of uterine cancer, but now I'm wondering if this may be the way to go. I really don't want to get into this situation again. Wondered what others used for this miserable condition.