Hormone creams and pellets have been controversial and not universally accepted amid fears of increasing risk for cancer and other problems, and research has not completely addressed these concerns.
Many women fear or do not want Hormone replacement therapy , especially if their only concern is with vaginal health. Good medicine includes the principal of using the least amount of treatment required to solve the problem and many people feel that hormone replacement therapy should be avoided if possible.
Antimicrobial products such as thrush creams and antibacterials will treat the infection but not assist with non infective problems.
Lubricants can be independently useful not just for making sexual activity easier but also for preventing friction damage in the vagina and vulva which can happen with normal activity and wiping but they simply provide a temporary protective coating.