Hi Sammiejane,
Dealing with your questions in order (as far as my experience).
VA - difficult to say as I started T when I'd been on Tibolone and Ovestin already, and the Ovestin pretty much sorted the VA, whereas Vagifem that I'd tried previous didn't. Since I've been on Sandrena & Utrogestan I've rarely needed Ovestin in the last 6 months.
pelvic floor strength - improved with the improvement in VA, and ability to do more pelvic floor exercises.
bladder irritation - not a problem I've experienced.
energy - absolutely improved, along with massive reduction in aching joints to almost zero.
libido - massive improvement but very dose specific. Although I'm prescribed 1 pump of Tostran on alternate days that's too much for me. A petit pois size blob every day works best as alternate days gives me feelings of peaks and troughs and I feel ?wired? when I use too much T, which is how I've tweaked my best amount.
vaginal discharge - increase or decrease. Can't say it effected it at all.
HTH,
S