Hello dear Understand your concern. Following are the cause of your problem: 1. Peri menopausal state 2. Hormonal imbalance 3. Excessive stress 4. Change in life style 5. Excessive alcohol and caffeine 6. Excessive exercise 5. Drugs: Birth control pills, thyroid medication 6. Thyroid problem 7. Endometriosis 8. Atrophic vaginitis/cervix 9.Rough sex and injury to post. vaginal wall But my best advice is that again consult with your doctor. Test your hormone profile- Estrogen, Progesteron, FSH, LH, HCG and thyroid profile If necessary do USG, endometrial bipsy, PAP smear, hysteroscopy. Take following advice 1.Limit caffeine, salt and nicotine from a few days before your period until two weeks after it 2. Healthy lifestyle 3 Stretching and regular exercise routines will reduce cramping and menstrual pain. 4. Yoga can be extremely helpful to reduce both the physical and mental symptoms 5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks. 6. Hot baths help with cramping, back pain and relaxation. 7. Sleep of at least 8 hours Maintain hygiene like below: 1. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 2. Keeping The Vagina Dry (Not wet, clean well) 3. Wear pure cotton Loose underwear Best regards Dr. Sagar