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Estring and burning, looking for input as to others' experiences and other alternatives?

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I have used Estring for several years and generally the atrophy and burning have been reduced. In the past 6 months I have suffered from debilitating burning in the spot where the Estring rests. My MD told me to take the ring out and reinsert it with cortisone. Still erratic burning. It has become life-limiting and chronic, losing days of work, etc. Does anyone else have any thoughts? I think my MD is out of ideas. Thank you ever so much for any input. I stand desperate for alternatives.

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