postmenopausal. checked for infections all negative. I have vaginal atrophy
Estrogen cream application will help.
I understand your concerns.
Following is my reply:
1) Your symptoms are related to low estrogen levels due to menopause.
2) Decreased estrogen causes atrophic vaginitis and associated problems like itching, burning and tender vulva.
3) Local application of estrogen cream to vulva and vagina will help in reducing these symptoms.
4) I suggest you to see your doctor and get estrogen cream for local application which will give you immediate relief.
Let me know if you need anymore help.
Might need oral HRT medicines
I am sorry to hear that these medications have not worked for you.
You may need to have increased dosage of these estrogen medications and perhaps few doses of hormonal replacement therapy tablets till your situation improves.