Hi I’m new and would love some help please? I’m 67, bladder problems over several months, over active bladder. No infections, scan was fine. I was prescribed Ovestin which really helps to reduce the toilet trips but symptoms return as soon as I reduce the dose. A menopause GP advised that I continue using daily for now. My problem is that it appears to be causing insomnia. I wake up around 4 am every night and then can’t sleep. I feel alert, wide awake. I’m also getting hot flushes which were pretty much ok until recently. Has anyone else experienced this as a side effect of HRT vaginal cream?