Georgesgran , Vagifem most certainly does help bladder problems in older ladies.
I prescribe it all the time although it's now available over the counter in the form of Gina, I believe.
What happens, after the menopause, when your oestrogen levels drop the vulval and vaginal skin thins and becomes " atrophic " .
It looks thin , pale , tight and sore . No natural lubricant is produced anymore.
This gives the well recognised symptoms of vaginal dryness and soreness.
However, the thinning and atrophy also extends to include the bladder lining , rendering it much more sensitive and also prone to urine infection.
The localised oestrogen in Vagifem replenishes the local mucosa of vulva , vagina and also bladder . This reduces sensitivity and means less frequent calls to pee .!
Hope that's helpful.