After much research, incredible stress and absolutely no help from traditional MD gynecologists, I found a compounding pharmacy that makes DHEA 3.25mg suppositories in a solid oil type base. I have used them for 1 year now and they have worked wonders for me! My only complaint is that they can be messy since the oil melts at body temperature and will leak out a little. But that is nothing compared to what I was going through before I used them.
My recent physical and blood tests, with a new doctor, showed great improvement in hormone levels and the pap smear came back showing not as much menopausal cellular changes. Some states require a prescription for the compounded suppositories and some do not. You will have to check in your area with a compounding pharmacy to see what the laws are. There are some compounding pharmacies on line that will ship out of state. There is one in Ohio that I use that is excellent. They ship the suppositories packed in ice packs and I haven't had any problems with that. But I live in the next state over so not an extreme distance away.
I finally found a local Osteophathic woman doctor that has been a true Godsend to me. She also prescribes a compounded progesterone cream based on my blood test. I have gone to MD gynecologists all my adult life will never go to one again. The extent of their knowledge for this condition seem to be to prescribe synthetic estrogen, and if you refuse that, recommend you get counseling and suggest an antidepressant medication. I am in no way a depressed person, I was stressed out from all the anxiety they helped cause me with their attitudes and lack of caring. Good luck and God Bless you all, I know how awful and stressful the symptoms of vaginal atrophy can be.