Why is my vagina broken?

About 1.5 years ago, after years of my vagina probably silently atrophying, I developed a labia cyst and went to an urgent gyn appointment and she mentioned I had atrophy and dryness and prescribed me vaginal estrogen. I thought this would fix me. I also had a lot of anger at all the prescribers I had seen the years prior with vaginal complaints that never identified the atrophy but that’s a rant for another day.

So I have been diligently using my vaginal estrogen ever since. I even switched and tried compounded estrogen and DHEA. I’ve tried adding testosterone. Using revaree inserts. Moisturizing lubricants. I tried HRT but my body does not adjust so currently not on that. So I’m really giving it my all to my tissues down there. I’m not sexually active so I’ve done pelvic PT and I’m using the Kiwi to keep blood flow going even with zero libido.

But I am DRY. And the cysts persist. It’s like day one every day. I’m at a loss and I just think, what else can I do to get this thing in working order? Or at least not popping out with cysts all the time. (Not STIs confirmed). I even just tried another two week loading dose to see if that would help but I swear it just made it worse. I’m feeling really defeated and at some point I would like to be sexually active again but the way my vagina is slowing drying up and dying I feel like this is the end for her. Any suggestions??