Hi monalisa, no, this is not it! There is a lot you can do for VA. However, you need to persist with the Vagifem as it can take a while (possibly months) for any of the VA treatments to work. Do a 2 or 3 week loading dose and then reduce to every other day for a while and see how it goes. The UTI feelings may all be part of the VA if no infection is present. You can also use a decent vaginal moisturiser such as one of the Yes products or Sylk.
Good resources for this condition are Jane Lewis's Vaginal Atrophy Facebook support group and her book 'Me and my Menopausal Vagina' (from Amazon). Also there is her Instagram page where there is loads of information.
JP x