I have a long history of female problems. I am 56, had complete hysterectomy at 35, y plasty, z plasty and vestibulectomy and hymenectomy due to skin atrophy in the vaginal area. Now I cannot even have sex with my husband because the vaginal opening has narrowed so much it is impossible and it hurts so bad up inside of me. I was just diagnosed last week with Lichen Sclerosis last week when I went to a Urologist for what I thought was a UTI because of pain and having to pee all the time, but was told my urethra was beginning to close up due to the LS and urine was backing up in my bladder. I now have to use a catheter daily 16 French to keep my urethra open. My guestion is what doctor do I need to go to for LS, UTI, vaginal pain and shrinking opeing? The hood on my clitoris is fusing together and almost hiding my urethra. I was told by a gyno oncologist a few years ago that I needed to have a neo vaginal advancement using intestine and remove all my vaginal skin. I just don't think I can do that. Do I need a urogynocologist, just a gynocologist, or stay with the urologist (who can't do anything with the vaginal area). I am so depressed over all this I just don't know what to do.WHich kind of doctor would deal with all these problems? I live in the Dallas area and don't know who to go to. Please help.