Personally I have a positive experience with this. But at the same time more questions.
I wonder how many of you 'practice' dilation' to keep the vulva and vagina open. Do you experience improvement? Does it perhaps help to keep fusing at bay? What about the narrowing of the vagina - is that part of LS's process?
I stopped after a month or two. In the process I discovered I've got a growing cluster of hard yellowish bumps inside and a ring of it around my vagina. Stretching just hurts.
Go at it gently, is my experience. I use a fluid form of coconut oil on the dilator, and before dilating I cover the whole area with coconut oil as well. Not every day the same result either, I go back and forth, then smaller, then bigger size of dilator. But I do see the need to keep at it - as was said, to keep the layers separate, the bladder in a better position, which then helps the passing of urine as well. As long as we don't force it.
Dilators can be purchased via Amazon. They come in a set of various sizes. The smallest size I started with however was a crayon wrapped in a condom. After a while there was enough room to insert a slim candle, then a thicker one again and eventually I used the dilator set's smallest size. Important is the lubrication. I use fluid coconut oil to cover the dilator with. A gentle approach is important.
Premarin drove me nuts. Plus it made that things were swelling. Combine that with lips that need to be kept separated, ah. Scary at the time. The gynae now was good with Bi-Est. (which I became familiar with via my nature path) Long term use and every day a drop. No more.