I too had a partial hysterectomy in 1991. They used FSH levels and symptoms to determine the onset of menopause. I have Sjogren's disease which significantly affects my Gynecological picture. I under treatment for interstitial cystitis among other issues such as vaginal dryness and tissue issues. My treatment plan is similar to yours. The Clobetesol and vaginal estrogen are a huge benefit. I also received bladder instillations to prevent UTI's. All of my genitourinary care is handled by a urogynecologist. Don't give up advocating for yourself regarding the Dupixent issue. Time consuming, frustrating, etc., but so worth it because your health and wellness are invaluable.

I had a hysterectomy and overies removed maybe 30 years ago My Oby Dr thinks it’s strange I have no itching or nodules on my bottom I use estrogen cream and clobetasol every other day I have lichen sclerosis which is usually under control with the meds My dr said she would look into the pn situation so I will update you on her reply if any she did say what you just woke up itching one day I said yes I hope it goes away just like it appeared I have only had pn for one year after the first intense month I went to the er and then the dr then the er no sleep so then they put me under observation then named it PN I didn’t mess around I was so tired of no sleep itching and on and on I use dupixent gabapentin remeron I have no nodules right now itching I do have the crawling feeling like don’t itch because we know the scratch cycle now I am fighting a denial for dupixent

I have not had the experience of PN being associated with menopause. I have had thoughts about it being associated with other things though.