Atrophy/GSM question
Hello all of my fellow perimenopause friends 🫶 I have a question about what other people are using over the counter to help with vulva/clitoral atrophy and GSM? I already use vaginal estrogen cream, which is great, but it is not cutting it, even when used daily.
Does anyone use two type of estrogen products or prescription products in their vagina and vulva for atrophy? I was using the Mylan brand vaginal estrogen cream before the atrophy situation. My newer tube is the brand Patagis. I don't know if this newer tube sucks or I am just getting deeper into the perimenopause hell hole. I say this new cream brought back my clitorous, so I should probably trust that it is working. But, I have so much irritation and burning and red spotting every day lately.
Also does anyone use a different systemic estrogen outside of patches or gel and have good luck? I switched to gel months ago because I wasn't absorbing my patches very well. I think I am in the same boat with the gel. I was supposed to have an appointment with my hormonal NP today, but she was a no show. So, after being so frustrated, I am turning to the group for some help until I can see my doctor.
I recently got a vulva balm and lube from Medicine Mama. The lube is nice and feels soothing, but I don't feel like the balm is helping much.
Thank you in advance.
If you want more detail, it is below:
I have been on hrt for about two years. I take a high dose of estrogen (gel packets), I have an IUD, I use vaginal estrogen cream, and testosterone gel.
A couple of months ago, I suddenly developed clitoral atrophy. I realized my mistake (expired cream🤦♀️). I redid the starting dose and just never stopped. It worked to bring back my clitorous and inner labia.
But, I have been struggling so much lately with irritation, and burning in that entire area. I still have a lot of lubrication when aroused, but I think it is the other times that is creating a problem.
I have orgasms almost daily (partially for the clitoral atrophy and partly to have something to enjoy during this shitty phase of life). I do have intercourse about every other day. It feels great during, but I will have red spotting after and the next day the stinging and all of that blows.
I think my biggest issue is I need more estrogen, but even on a very high dose it just eventually is just not enough. I would love to try another option for delivery, but I am not sure what may work better.
Sorry this is so long. I am so frustrated! I fought so hard to get my libido back and now it is this. I feel like everything gets so much better and then kind of implodes sometimes.