I have what I can only refer to as an “Angry Vagina”

So several years ago at the age of 42 just a few months after I had a miscarriage, I had my first symptom of perimenopause “vulvar inflammation”. It took a very miserable two months to finally find a specialist who figured out I need Yuvafem for the upper vagina and estradiol cream for the vestibule. I was able to keep my symptoms at bay since then (aside from maybe a few flare ups that were pretty minor and addressed with increased dosing and then back to regular maintenance dosing)

Well fast forward to last week (I’m now 47), a couple days before my period started I felt the burning/ dryness symptom down south indicative of a flare up. I wasn’t alarmed as I know that estrogen is at its lowest around this time and so I just increased my estradiol to twice daily for a therapeutic dose… it didn’t help. By day 7 I got worried so I thought I should also increase my Yuvafem to once daily for a two week therapeutic dose. 3 days have passed and nothing has resolved. Vagina is still angry.

I honestly wouldn’t wish this on anyone. It’s such an awful feeling. I’m going to see my OBGYN tomorrow and want to make sure I walk away with answers and a plan. I’d appreciate any advice on what has worked for you if you’ve also had these symptoms. Do I need to add something else to the mix?? My periods are regular. Just lighter. I also started having hot flashes (in my feet at night only. Kind of weird but whatever) gained 12 pounds in the last year, hair has completely thinned out, dry eyes, dry skin, itchy ears. And new to the mix is dizziness that just started yesterday. All of this while on my period. The dizziness is now setting me over the edge as I really didn’t need one more thing to add to the laundry list of symptoms.