@Johan Westerlund Thank you for reaching out.
In mongo vcore you always have one primary node, optional HA, and optional cross-region replicas. The Mongo drivers are the way to go.
Mongo vCore is an OSS Mongo compatible database. It's a managed version of OSS DocumentDB: DocumentDB: Open-Source Announcement - Microsoft Open Source Blog
I am not sure we are missing something up. I would like to get more details on the issue you're facing with Mongo DB.
Regards,
Oury