I’m was on Letrozole and changed to Exemestane and I have vaginal oestrogen. It’s the lowest dose (Imvaggis and Blissel) and was prescribed by a menopause specialist who I discussed the risks and benefits with my breast consultant. I also use Yes moisturiser and lubricant and recently started Olive and Bee as an oil based lubricant as recommended by a pelvic physio, who has also been very helpful. Things have improved but I am awaiting a gynae appointment to see if something else is going on.
I started this thread which has some links with studies and other areas of support.
