I just started having these painful symptoms. Over the last two months I have been to several doctors and GYNs and they are not sure what is wrong, but have ruled out any yeast, bacterial or virus. They say I have atrophy of the vulva (most likely the vagina as well), and have prescribed estrogen cream. As I am in a heightened state of pain and itching (comes and goes, but it seems like it is always there) over the last few weeks, topical relief seems to be the only help. The estrogen cream seems to make it burn and itch more, so I have held off on that treatment for a few days to get some relief. I also have been diagnosed with neuropathy for the last four years, and experience many symptoms of Sjgorens as well. Up till now, I have been managing my symptoms, but this is a horror! Most doctors don't have any true understanding of neoropathy and treat symptoms as best they can. I must say I am frustrated by all the expensive and ineffective prescriptions my GYN and doctor have thrown at this over the last month or so with little result. Can anyone relate and is there a next step for me?