Good afternoon -

We don't bite, unless there's a 'y' in the day

. Browse round, make notes.
Chrashing fatigue can be troublesome during peri-menopause. I remember Mum stitching off the cooker and sitting down to sleep for hours, always at tea time. A few years ago we both had symptoms of extreme tiredness which = low VitD levels, both of us improved with medication. Has your GP done VitD and thyroid function blood tests recently as both can have similar symptoms.
U mention a urine infection treated with ABs - was a fresh sample sent to a Lab to be grown because very often at 'our age', it isn't an infection at all. A dip stick test isn't enough, many ladies have traces of blood etc..
Vaginal atrophy is usually due to loss of oestrogen which causes the body to become dry: inside and out;