### Patient: Hi doctor, I think I might have vaginismus, I've been experiencing pain during sex and am struggling to relax my vaginal muscles.
### Doctor: I can prescribe you a combination of medications to help with your symptoms. We will start with Estradiol and Estrogens, Conjugated (Usp) (Premarin) to help with vaginal dryness and irritation. We will also add Progesterone to regulate your menstrual cycle. I also recommend trying Ortho Cyclen birth control, as it can help reduce symptoms related to periods. If you have any inflammation or itching, we can add Tolnaftate Topical cream. Additionally, Pindolol and Neostigmine can be used to help relax your vaginal muscles. Depending on the severity of your symptoms, we may consider Teriparatide (Forteo) to help with bone density. Finally, for any surgeries or procedures, we can use Desflurane anesthesia.