I have been suffering from vaginal atrophy for few years now and its better when I use Vagifem but problems start again when I stop the treatment after around a month: dryness, burning sensation, wanting to urge to pee. Does it mean that I need to use this treatment all the time? I have tried to use hormone free pessaries With HA but they are big and it hurts when i insert them . I am also worried to go to the GP for a smear in case it hurts too much. Any suggestions?