I wanted to revive this older thread from last year so that I could give a personal update - if anyone is interested.
I have vaginal dryness rather than vaginal atrophy.
I had tried oestrogen cream but it gave me migraine.
I had been using Replens for a few years but always struggled with the white papery discharge. I persevered with it as I thought it was my only option.
After doing some research, I decided to try Yes VM moisturiser. I bought it online from Superdrug. I have to say that, for me, it is far superior to Replens.
In hindsight and in comparison with Yes VM, the Replens seemed to have a negative effect, even though I thought at the time that it must be working. I was using it almost every day as I felt dry otherwise. I now wonder if the white papery discharge (which I had all the time) was acting like osmosis and drawing moisture away rather than providing it - IYSWIM. If you read reviews about Replens, the papery discharge is a common complaint. Replens say it is old cells being shed.
The Yes VM moisturiser does not come with an applicator but I used an old Replens one which works fine. I only use it once or twice a week and would recommend it.