Hi @dablues, I can imagine that you are confused about what is going on. Clearly you need to find some answers. Let's see how the community can help you know what questions to ask and which specialist to see. I'm tagging @avmcbellar @gingerw @baxtersmom @astaingegerdm and @cherelle in this discussion. I'm sure others will jump in too.

Dablues, it sounds to me like the source of the bleeding has not been found. Your doctor suspects vaginal dryness or vaginal atrophy. You can find out more information about vaginal atrophy and treatment in this article:
- Mayo Clinic Q and A: Managing the symptoms of vaginal atrophy: https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-managing-the-symptoms-of-vaginal-atrophy/

I have a few questions to consider:
Has internal bleeding from AVM been ruled out? Is your tiredness a new or worsening symptom? Has the foamy urine changed in the 5 days since the CT scan, i.e., gotten less or more?