Orria, Kazer1's GP is treating her appropriately at this time, it is not for us to instruct a member or push the use of systemic HRT, we can only give advice about our own experiences.
Its also not true that you won't need topical oestrogen if taking systemic HRT, women can need both treatments.
Right dose of systemic HRT protects against VA.
In my case, it showed up after my dose was decreased. 3x UTI, no response from GP, only antibiotic. Now, after increase by private gino, I can feel how it's going away.
Yes, it's my own experience.