I had a radical hysterectomy at 38 and was advised not to have HRT. Now I have developed significant age related vaginal atrophy and experienced regular uti’s, despite careful personal hygiene and maximised fluid intake. I asked the GP for estriol cream to help my symptoms; dryness, itching all made worse with stress incontinence as well as atrophy. I now have estriol cream applied twice per week and use YES vaginal gel the days in between. I did have to stand my ground though, as the first GP I saw said that it wouldn’t make any difference to me as I had been without estrogen for 30 years. I then asked for a referral to a gynaecologist, following that appointment it was confirmed that I definitely needed the above. The GP does now prescribe these for me. I do occasionally get a uti, and due to the vaginal atrophy can get a false negative. Again I am quite clear about knowing my body and what I am experiencing and more than capable of recognising the signs and symptoms of uti’s, so will ask for nitrofuratoin antibiotic, which is first line treatment. So ladies don’t be fobbed off.