@kmakm and @Sister I seem to recall ther is some new treatment for vaginal atrophy maybe @SoldierCrab @primek can advise who are the mods for the talking about vaginas group but may be better discussed within the group.
@ kmakm am sorry you are doing it so tough - am going to do some research/ thinking about your side effects and will see what I can find to help. One thing I do remember that may help with hot flushes is to avoid hot spicy food as it seems to make it worse - am the Laksa queen and Indian food fan and learnt that 20 years ago the hard way.