I looked up Efexor-XR. It is an antidepressant? Apparently has varying side effects, so that may be it. I don't have any experience with that type of stuff. Maybe talk with your doc? Do some research, there seem to be several chats on the drug.
Is there are possiblity of getting off the drug? Why was the dosage doubled? Are you doing anything else to deal with the reasons for taking it? Maybe counseling? For the UTIs add 100% fruit Cranberry juice to your regular diet, that should help reduce those and of course plenty of water.
Your labia will swell as part of sexual response but that subsides after and there shouldn't be pain associated with it. It sounds like you have good self care, what kind of laundry products do you use? Maybe the unscented, dye free and avoid dryer sheets - they can cause all sorts of problems.




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