After 6 mnths of vag and rect burning i have been diag with vulvodynia. on top of that i have low estrogen. i started with vulvo exercises. haven't been put on meds for vulvo except for lyrica which helps alot in the night. what advice can drs give?

At age "46", pre-menopausal symptoms, and "low estrogen" may create pelvic pain which can create additional psychological manifestations which contribute to your stated symptoms. If "Lyrica helps a lot" at night, ask your GYN physician about hormone replacement therapy via low dose oral contraceptives, which could alleviate hormonal components of this condition.