Thanks for coming back to me bombsh3ll. I had forgotten about the option of ablation so will bear that in mind.
Bit of an update from me: visited my GP yesterday to chat about my situation. My biggest concern was the pain I have been experiencing from the inner thigh sensitivity and how much it hurts to walk around my house (let alone anywhere else)!
I have been leaning towards it all being to do with low estrogen and had all my questions prepared regarding increasing the frequency of Ovestin and getting rid of the Provera tablets. She still believes however, that it might be a skin thing and has referred me to a dermotologist specialising in women's health.
She also wonders if my existing blushing issue (diagnosed by a GP years ago as rosacea) might be linked to the whole genital area burning/itching and my inner thigh sensitivity.
I have been blushing at the drop of a hat since early high school. Not sure if anyone else has this? I blush (patchy redness, not sore just hot) all over my face, neck, chest and even arms at time. This can be in response to eating spicy food, drinking something hot, drinking alcohol, stress, social interaction e.g. bumping into someone in the street when I wasn't expecting to and even sometimes when I am!
I don't think she agrees it's rosacea... Anyway, mentioning all this as it might help someone else if they're reading this in the future and I've posted some kind of conclusion regarding what on earth this is all about!
I struggle to think that something I've been experience since puberty (blushing) is related to a leg and genital area issue I'm experiencing suddenly in my 40s, but who knows!
With regards to Ovestin, she said no to me increasing frequency. I asked about applying it externally to my sore bits and she said I can try but advised she didn't think it would help and its external use hasn't been proven as beneficial. Fwiw, I believe you ladies when you say it helps you however, since my diagnosis is not confirmed I think I'll just stick with my twice weekly internal application for now...
She said no blood test is required to check my estrogen levels and she said she didn't need to examine internally... She said I should continue using the steroid cream. She isn't in any rush to move me to the Mirena...
I guess I'll have to trust in her for now. Please let me know if anyone has any thoughts on my situation, happy to hear what you think. Thanks for the support