Hello I’m a 28 yo woman who was diagnosed and started treatment for triple positive breast cancer in October last year. I am currently on zoladex, tamoxifen, herceptin and perjeta alongside venlafaxine and codeine phosphate to control side effects. I’m in chemically induced menopause. Since the middle of chemo I have had intermittent issues with dryness down below. For the last few months I have been experiencing pain and discomfort when having sex. Even using lubrication doesn’t help much, my vagina just feels very tight. Even just getting a finger in is painful and difficult. There has been no bleeding. Since the last two days I have also developed a sharp shooting pain above the hood of my clitoris. On examination it is not red or swollen and there is no evidence of any wounds or similar. It’s mainly just painful when touched and does not cause me pain when sitting or walking. But any kind of sexual activity has now become impossible. I’m recently married and this is really bothering me. Do you have any suggestions on what it could be or how to make it better?