Vagifem not working as well as it once did .
I’m 41 and wondering if anyone in perimenopause has experienced a persistent low-level feeling of needing to pee? It’s not really urgency — I don’t have to rush to the toilet, I don’t leak and I can hold my bladder normally. It’s more like an annoying constant sensation from my bladder/urethra telling me I need to go when I don’t, and it seems to be worse around ovulation and before my period. Sex isn’t painful and I don’t have major dryness, although I occasionally feel a little dry and use lube. I’ve been using Vagifem 10mcg around three times a week for six months , which definitely helped initially, but recently the sensation has flared again. Estriol cream didn’t work for me . I’m also having pelvic-floor physio. Has anyone found they needed Vagifem more frequently, or that adding systemic HRT helped? I’m also curious whether anyone switched to Intrarosa/prasterone and found it better for urinary/urethral symptoms. Would really love to hear from anyone who’s had this specific weird “need to pee” feeling!