Hi, I m 25 and I have been experiencing pain in the vulvar vestibulum for about month. This only happens when I touch it directly but it hurts so much the doctor could not insert the speculum. She said there is no sign of irritation though. I have no history except that I just treated a UTI last month. Now I have a vaginal yeast infection. I was prescribed fluconazole for it, as that could be the cause. However, I was reading that lack in estrogen could also lead to an athrophiated vestibulum. I do have a Nexplanon which was inserted in June. That does not contain estrogen... which makes me worry that the implant is not helping my situation. Before this pain started, I was spotting for 3 weeks continuously. What do you advise? Thanks