I forgot to add that I am post menopause but reasonably healthy and I had dryness( Sahara desert) so I found a doctor who prescribed compounded estriol/progesterone topical vaginal in a Versa base. Seems to help significantly. And while I had the active crisis, I sprayed Colloidal silver on the opening of the urethra. I figured if the bad guys can get up there so can some antibacterial silver. Good luck and feel free to reach out anytime.