Do you know the difference in estrogens and androgens in your body? Androgens may be more effective in supporting pelvic floor musculature and incontinence issues, as well as improving arousal and libido.
When I had my practice, women came to me to be treated surgically for incontinence, vaginal atrophy and sexual dysfunction. But I found a better approach after years of research. Androgen therapy such as DHEA resulted in improvements!