Vulva soreness despite oestrogen pessaries

[pumpkinscake]

Using vagifem, but recently have stinging around the lips of my labia, plus the perineum. Am 61, had an early menopause (early 40s), never did HRT. Might I need more topical oestrogen?

I’ve had similar. It was initially diagnosed (during lockdown so was a telephone appointment and I wasn’t seen) as being vaginal atrophy and prescribed oestrogen pessaries. I wasn’t totally convinced as it was external rather than internal if you get my drift. The pessaries were ineffective. I plodded along with itchy bits driving me insane for a couple of years which I attempted to treat with various otc creams. When I finally made a gp appointment face to face it transpired it was severe eczema and needed a strong steroid and emollients which worked but I have to keep using the emollients or it comes back.