Complete hysterectomy at 44, no cancer thankfully, and had hrt for a couple years until supposedly medical community said the chance of breast cancer became enormous. Of course, stopped hrt.
Atrophy started, and had tons of bladder and urethra issues, urethra dilation became a regular part of my life.

My old urologist retired, fortunately, and my new doctor had specialties in urology and gynecology. Gave me the estrogen tabs, which worked great for years, then I started having problems again. Atrophy and very painful sex.

Moved south, and found a woman urologist who recommended compounding the meds in a non irritating cream base. She asked the compounding pharmacy to give me several samples of different base cream to try with no meds, to see which was comfortable, and they graciously did. The vaginal and urethra issues almost disappeared.

I asked my doctor if she could RX just the base cream to use as a lubricant. It works great and really inexpensive and not messy.

She also rx’d pelvic therapy/dilation which was extremely painful at first, because I was so tight, but that loosened up.

Things are better now, I am 71 and seemingly have some comfort for a while…maybe your doctors could recommend the same type of cream for a lubricant with no meds?

Good luck to all!