My problems started after breast cancer and they told me I could not keep using my Vagifem ): So I stopped and 3 weeks post surgery I got the worst UTI I've ever had! Took antibiotics and then got the worst yeast infection! So I tried Hyaluronic acid for vaginal atrophy after all of that and what happened after that was worse! I'm apparently allergic to it for nearly a year I had no idea why my vulva was literally on fire especially when I urinated. I could not wear jeans, or tights, it was nuts! Now if I am dry I use either coconut oil or Carlson vitamin E suppositories. I however am not sexually active and I can't even imagine having sex since I believe it would just hurt way too much!