Hi, I know how you feel! Getting on top of the urinary issues that come with VA is a battle!
I used Ovestin at first, though I inserted it further into the vagina and used a smear on the outside, near the urethra. I used it every night for 6 months and while it helped for a couple of months, my bladder never really bounced back. Each day was Russian roulette as to how it would feel.
Then I started getting recurring Candida Glabrata thrush (3 times in 4 months) which seemed worse each time I used the Ovestin.
So, I switched to Vagifem 8 months ago and it is much, much better. I had to do a 14-day thrush treatment for the Glabrata using Nystatin cream which finally got rid of the thrush. But I cannot use Ovestin at all now. I get thrush within a few days if I do.
I use Vagifem internally every night before bed and at the moment, organic coconut oil to relieve external dryness. I still get flare ups when the weather is particularly hot or when I am stressed but my bladder is much, much better now.
This is just my experience of course. I see some women have success with Ovestin but I think Vagifem might be worth trying if bladder issues are your worst symptom.