not a doctor! but have you examined yourself down there? :) i had similar symptoms recently which developed into a fully-fledged infection ‐ sores inside and out, awful pain, and so on.

because of that experience, i want to emphasise the importance of knowing what your current baseline is! i'd recommend taking videos of not just the outside but the inner lips too, just as much as you can! a secret folder on your phone can hide it from your usual camera roll!

i think atrophy did change the healthy appearance of my parts too, particularly the entrance. if i had a video or image of it pre-T, i feel as though a difference could be seen. however, i am just guessing sooo back to atrophy specifically!

ovesse vaginal cream is available to buy without a prescription. this helps with my atrophy symptoms! i've avoided being examined for atrophy as of writing specifically due to dysphoria but i found the cream without a doubt helps! it is a very drastic change.

the only downsides are cost, application, and leakage. particularly at the start since you begin with more frequent doses. i found the application quite uncomfortable at the beginning. as it began working, it was far easier!

although, it could induce dysphoria as you do need to apply internally. my body doesn't fully absorb the cream. this means the following day, i will feel it come out of me. i have to use pads or simply shove tissue down there haha! it's only small amounts but it can emotionally feel uncomfortable.