<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been having suprapubic pain, vaginal pain, lower abdominal pain, hot flashes, and sharp abdominal pain. What do you think is the issue?  <response>: Based on your symptoms, it is possible that you have vaginismus. This condition causes involuntary muscle spasms in the pelvic floor muscles, leading to pain and discomfort during sexual intercourse or vaginal exams. Note: It would be important for the doctor to ask the patient more questions and perform a physical exam to confirm the diagnosis and provide appropriate treatment. 