I have name changed for this, as there is one aspect that I can't even tell my DH! Before I start and to give you a clue, I am not a piss troll.
I am pre-menopausal, and on some very light HRT to manage symptoms such as hot flushes, brain fog, irritability etc.
My Mirena coil is overdue for replacement, by about 4 months. I'm having some additional symptoms now like breast tenderness, mild pelvic pain, and pain during/after intercourse.
I have some bladder weakness which the GP felt was probably menopause related (softening of the pelvic floor muscles) - I wear a pad during the day to catch leaks, but I don't use one at night. The old fanj has to breathe once in a while, but I'm mainly self conscious and I don't really want my DH to wonder why I'd be wearing a pad at night. He's a massive pisstaker, pardon the pun, and I'd never hear the end of it. Plus, you know, sexy-time spontaneity. The embarrassing bit is that I must be leaking tiny amounts overnight, so in the morning...well, I'm damp and smell like a camel barn. And even if I DO wear a pad, the morning problem is the same. 
DH is baffled as to why I avoid any closeness etc first thing in the morning or keep the covers clamped over me as he's getting up - I told him that I prefer to stay covered as I'm self conscious about my body, but really it's because I'm panicking that he'll get a waft of ammonia and fall unconscious before I can dash to the shower and remove the offending underpantage. If I wake in the night for the loo I sometimes change, but he has been known to wake up and say, "Why are you taking your pants off??"
To add to it I have an long term waterworks problem - for some 20 years I've been getting repeated "infections" (painful bladder and cloudy offensive wee), but 90% of the time there is no infection, just a high white cell count, and routine investigations many years ago yielded nothing. I had a few years respite, but recently this issue has returned - I am soldiering on with bladder pain and leaking foul pee. Gosh I'm so attractive right now.
If you've got this far, I have approached the GP again, however;
- They cannot remove and refit my mirena because they are not doing such appts at the moment, plus one of the few GPs trained to do so has retired. When they start scheduling appts there is a long backlog.
- I cannot have antibiotics for my malodorous bladder as there is no infection, and they are not moved to investigate further.
- The bladder weakness is perceived as "just one of those things", even though I have never given birth so technically my pelvic floor should be pretty good.
I have private insurance so I could get all of this looked at privately - but I'd need a referral. What type of referral do I ask for though? Can a gynaecologist deal with all of it, including the bladder thing? Lord knows a private doctor might get to the bottom of it if an insurance company was paying.
Opinions and advice welcome, if you're not all asleep...sorry for TMI. It's the first thing I've ever felt too mortified to reveal to my DH, and he's seen and heard far worse from me...