I am afraid that urine hormone tests are reliably un-reliable. My Gynae goes on symptoms which is where the diary is helpful.
Deciding about Quality of Life is the most important issue, it may be years B4 cancers occur when we take HRT. Being overweight, drinking too much alcohol, lack of exercise are higher risks than the small dose of vaginal atrophy treatment.
If the urine test has sat around for days: i.e. in the postal system, then in a Lab., it might not give a 'true' reading. Also, it is important for the urine to be taken at specific times of the month ........... I don't understand 'positive' for fsh.
Let us know how you get on and I know it's not easy, try not to worry.