Vaginal dryness/Irritation

I am wondering if I am starting premenopause. I am 42. I started having vulva itching about a year ago. My doctor prescribed me clobetasol. That helped a lot. About when Covid started I started needing to use it more and more. It still helps but I now have an almost constant soreness to the skin of my vulva and clitoris. I am wondering if I need to switch medicine? Maybe an estrogen cream? I am nervous to go to the doctor. Does anyone have any similar experiences?