Thanks for all the suggestions, ladies. I'm starting with coconut oil cause that's what I had and "Beating Endo" said it was fine. (I know there are pH concerns and didn't want to make anything worse with ill-advised home remedies.) I'll see where I go from there!

If and when you end up seeing a rheumatologist, the dryness issues would be good to mention. I know dry eyes and dry mouth are part of Sjogren's syndrome and some other autoimmune issues. I don't know too much about it, but it might be a part of the puzzle. Best of luck getting it figured out!

This is my favorite natural aloe based lubricant : https://aloecadabra.com/

Good luck!

When I went through pelvic floor PT, I was also experiencing a lot of dryness. My PT recommended using a non scented, water based lubricant, which I was able to purchase through the PT office. She also instructed me to use clear syringes to insert additional lubricant. This helped tremendously with the PT exercises! Even years later, methods that I was taught through pelvic floor PT are still effective with consistently painful sex. If i was not aware of these techniques, I would honestly be fine if I never experienced intimacy ever again.

They tested me for sjogren's and the blood test was negative. Kinda want to see.the sensetivity/specificity for that blood test, though.