I can’t offer any advice, but I would research menopause now, early and find out your options, like HRT. There are some good videos on you tube with noted female urologists who talk about menopause and what women should be aware of regarding their pelvic health. It’s shocking what women are not told. There are some threads about it around here as well. Gynecologists don’t necessarily help provide proper information to women either.

I hope you can find answers and help with your issues.