Yes, I had both. Vagina improved hugely with oestrogen and even better when periods returned after we stopped breast feeding. Still a bit prolapse now but it doesn't bother me. Re anal fissure (omg that hurts!) I saw a surgeon and had a very brief (ie 15 min) op to have the fissure excised. Immediate improvement. That was a while back, though, I think they treat them with Botox now.