@randy36 When you next see your oncologist you might ask how to use the vaginal estrogen cream. At the Menopause and Sexual Health Women's Clinic at Mayo Clinic I was instructed to put a pea size amount on my fingers and rub it in like I would use a moisturizer on the labia majora and the labia minora (inner and outer lips of the vulva) which allows the cream to penetrate at the opening of the vagina. I had been using the full amount in the insert tube as the directions instructed and the nurse educator told me that this wasn't necessary for me. It did work. Unfortunately, I can no longer use it per my oncology nurse practitioner and radiation oncologist. At least for now. I'm hoping that might change in the future.

Will you let me know what your oncologist says? I hope you have the success that I did when I was using an estradiol cream.