Hi Grumpymum. Yes, what you describe is VA. Systemic HRT is often not enough to combat this, and you need a local oestrogen product such as Vagifem or Ovestin. Over the counter products don't contain oestrogen so are not the answer. You could explain your symptoms in a telephone consultation, it depends how enlightened the GPs are at your practice. It's worth a try if you know the bleeding is from the labia.
You could try Hydromol ointment from the chemist, to act as a barrier to urine coming in contact with the sore tissues.
JP x