Hello, has anyone tried silicon lubes? Are they worth the extra cost? Can I put this type of.lube inside with an applicater? Water based tend to drip from inside, i wonder.if silicon type stay better without dripping

Only use what's recommended by your surgeon until the point they say your healed. After that I would day use what ever you wish.
I have started water based and still have been using at 15 months with out issues. Yes it does ooz out but clean up is easy.

My understanding is the same - water based only until you are healed.
Before you switch to silicon check out different water brands. My surgeon gave me Q-C which I can't get here in Switzerland - the pharmacist switched me to K-Y which I started with today. Interesting it slides so much easier than the Q-C. So different brands have different viscosity (smoothness). And yes leaking is a pain. To the point where a rash is forming. Hopefully getting it in check now.

Use pure coconut oil - it helps maintain healthy flora and it gets absorbed by the vaginal lining so you don't have to douche after each ->-bleeped-<- stretch.

Edit: once you've healed obvs

I'm picky about this sort of thing and I recommend Emerita - Feminine Moisturizer. It's water-based and will not leave you feeling "lubed up" but instead more like natural vaginal fluid would be it also coagulates with itself, lasts a long time (a little moisture will 'reactivate' it), and I have not noticed/had any issues with drip. Have fun!!

My doctor actually recommended Vagisil lubricant (they do make a real lube, not the medicated or scented products), which is water-based but requires very little to get everything thoroughly lubed up. He says he suggests it to cis patients having issues with vaginal dryness as well - to use daily for moisturizer - and it certainly has worked like a charm to keep things moist and comfortable for me.

My doctor prescribed vagifem https://www.vagifem.com/about/how-it-works
I wonder if topical estrogen inside the vagina is able to alter the lining

Moisturizer >>>> lube imo.

Samantha : Vagifem has a warning for endometrial cancer, which might be what he's thinking of. (But that's only a problem if you have a uterus.) Vaginal cancer itself, without a uterus, is possible but really rare.

Samantha : Yeah, honestly, it sounds like he's taking the standard cis woman's recommendations to heart - they need to take Vagifem with progesterone to avoid uterine cancer. But again, that shouldn't be an issue for anyone without a uterus (including a cis woman with a hysterectomy)... If I were you, I'd ask him to clarify where he was getting this info from.

Vagifem actually does have a warning to this effect in the US, but it also specifies what type of cancer is a risk. Possibly that's not the case where you are, so he's confused b/c he didn't dig deeper into the studies (which isn't a criticism, any doctor who DID chase down every nitpicky detail of everything wouldn't have time to practice!).