What is the best treatment for vaginal atrophy?

Estrogen cream: Vaginal estrogen cream can help vaginal atrophy, even if only used twice a week.

Laser!!: I can say, without reservation, that 100% of the patients in my practice who have used a laser device for vulvo vaginal atrophy have had complete resolution of their dryness within the prescribed treatment time frame of 3 months. Additionally, stress incontinence and overactive bladder issues are consistently relieved. Maintenance can be achieved with estrogen cream. Cream alone, not so good!