Thank you for writing.
Perimenopause is the period before menopause sets in - a time where we are less likely to get pregnant and may have symptoms like insomnia, anxiety, even hot flashes and changes to our menstrual cycle.
Low estrogen levels may also leave women more vulnerable to urinary or vaginal infections. Loss of tissue tone may also cause urine leakage when coughing or sneezing; urinary urgency and/or frequency.
So your symptoms may certainly be connected to this time of life. Talk with your doctor about your options.