I have had frequency and urgency for years, started in peri meno, before I even knew anything about vaginal atrophy!....that's now been troublesome for over a year and flares up despite using systemic HRT and estring internally, and estriole cream externally and emu oil, and having spent a small fortune on a course of Mona lisalassr treatment, things are better, but susceptible to flare ups at any time 🙁 it's for life unfortunately
I was on vesicare to help bladder, it did help a bit, used it daily for over a year, possibly two ( I forget to be honest)....but bladder is always worse when my VA is bad, ( sore/burning/irritated/rashy/****ly)
Recently I've come off the vesicare as it caused a tickly cough, I've been using Kegel connes daily to tone my pelvic floor, and urgency abd frequency have improved, hoping thus at least, improves things a bit.....menopause is miserable when you suffer VA and bladder issues