atrophic vaginitis
"I too was on Vagifem for about 1 1/2 years when my Insurance switched me to Yuvafem.  After 2 months I was getting a lot of Hot Flashes and the Vaginal dryness started to come back,   I did appeal to my Insurance Company and they just approved for me to get the Vagifem back instead.  I have a feeling my copay will go from $30. to $50. but it's worth it to get results.   I had no issues with insertion or anything like that but do believe either the pill dissolved too quickly or too slowly and that is why I was having my symptoms return"