<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been experiencing some lower abdominal pain and I noticed Im involuntarily urinating at times. I also have a vaginal discharge and suprapubic pain. Oh and also, Ive been having hot flashes, what could be causing this?  <response>: Based on your symptoms, it sounds like you may have atrophic vaginitis. It is a condition where the vaginal tissues become thinner and dryer, leading to painful intercourse, urinary incontinence, and other symptoms you described. Ill run some tests and we can discuss treatment options. 