Has anyone been to a pelvic floor therapist for urge incontinence?

[JacknDiane]

How did it go? I've got a doctors referral but just found out its a 52 week wait on the NHS!!!

I've been using vagifem for years. Also taking Jude tablets. Tried solefenacin and another one i forget its name...now trying micrabegron. Been on it a few months. Have had a urine test, no infection. I have urge incontinence and its worse at night in bed, I need to use tena lady maxi night and even then I can still leak onto my bedsheets.
This is really awful and getting me down. I've cut out caffeine, sweeteners and fizzy drinks. I try to not drink after 6. So much so I often get a dehydration headache at 5am the next day.

Im really at my wits end. Im not on hrt, Tried the patches and they didn't help. Am nearly 60 and don't know if I should try hrt again (they started me bleeding my boobs were enormous)...or a private pelvic floor physio...or what?

I really dont know where else to turn.
Any advice would be really appreciated.

Too tight muscles can cause bladder spasms.
I really do suggest you increase the Vagifem- can you do that?

If you're not sure what I've posted, I can link to the info on Menopause Matters written by a consultant, saying the dose is now 10mcg and it was 25mcg, so it's fine to use it 5 days a week. ( 2 x 25mcg is the same as 5 x 10mcgs.)

Have you googled incontinence clinics in your town? Maybe do that first and see if you can self refer.
Do the same for a private physio.

Thank you @JinglingSpringbells, I will increase the vagifem and see how it goes.