I have been struggling with this problem for several years now, started shortly after my complete hysterectomy about 11 years ago. I take daily Premarin and Estratest to keep hormone levels up. Once diagnosed I was given 0.1% Betamethasone Valerate cream and later Premarin vaginal cream was added. This still is not controlling it. Sex it getting increasingly more painful and the itching and skin damage continues. I am at my whits end! Is there ANYTHING else I can do? The skin down there has almost all disappeared, and what is left I fear if this isn’t controlled soon will cause other issues that I don’t even want to think about! Scary! If anyone has any other treatment suggestions please let me know.