burning pain

This sounds miserable. What are you going to do?
Are you still having yeast?
Are the meds for other pain or for the pain of the yeast? or of the prolapse?
You are certainly in a rough place. And yet you still manage to have a sense of humor.
Have you done the alternative treatments for yeast and immune function improvement? do you visit a chronic pain support group? Living with chronic pain is enough stress to cause lower immune function.
How is your prolapse?

I'm so sorry you're going through this. I too am a chronic pain patient and I know the utter frustration you are under.

The hydrocodone plus ibuprofen is a very good weapon against chronic pain; I am assuming you're taking the oral pills? It's a bit unclear if those are being compounded with lidocaine in the cream (I have never heard of topical application of hydrocodone/ibuprofen).

But remember, hydrocodone dries out ALL your mucus membranes, including vaginal tissue. I understand you have found that this combination seems to help the most, but could it be a vicious cycle where the hydrocodone is drying your tissues, causing pain, causing you to take it, which dries the tissues, and so on? Could you test this by stopping the hydrocodone for a few weeks to see if things improve?

If you are taking it for other pain, (back, etc.) an alternative might be an implanted morphine pump. Or you could try tramadol (Ultram) which is a mild narcotic painkiller but which may not dry you out as much. If it were me, I would also be sure to be seeing a very good chiropractor and a massage therapist. Skeletal and muscle pain responds very well to this combination..... the only problem is cost however, so personally I use these things as much as I can afford them, then use pharmaceuticals as necessary.

Unless you have a history of substance addiction, do not worry about becoming a "certifiable addict". There is a very big difference between true addiction, and the simple physical dependence that anyone gets if you use an opioid daily. Don't let all the media hype about "addiction to prescription pain pills" scare you off. If you find you "need" them because of withdrawal discomfort if you don't take them, that doesn't mean you're a drug addict, it simply means you need to wean down slowly, NEVER suddenly. You are not an addict if your functional life is improved, not harmed, by narcotic use, if you don't exceed the prescribed dose, if you don't do end runs around your doctor to obtain more than he prescribes, and you have no trouble slowly weaning off them when you no longer need them for pain. There is a lot of misinformation and misunderstanding out there about opiate use, and a lot of damage being done to chronic pain patients who are falsely accused of being "drug seekers".

Like any other drug, opiates have good uses, and some bad side effects. As I said, one of the main side effects is drying out of mucus membranes. You may notice dry mouth, possibly dry eyes, maybe constipation (caused by drying inside your colon), and possibly vaginal pain might be the only symptom of a drying of those tissues too.

That is only one possibility to consider. With my chronic pain problems, I find the best success using a multi-dimensional approach. Also deep and persistent sleuthing. The doctors never have the time to sort out a mysterious problem like I do, when I'm the one suffering it.

No, the ibuprofen should not have a drying effect but it does tend to upset the stomach. Ibuprofen is an anti-inflammatory. Hydrocodone is just a brute force pain killer. If you think the ibuprofen helps then you may have an inflammatory process. There are all sorts of things that can cause burning pain in that area. It is too bad your doctor doesn't seem to want to spend much time with you. It certainly is daunting not to have a computer; that is the window to the world for me. Maybe, if the doctor did not test for yeast you could go back and tell them the problem is not gone. Sometimes doctors won't order tests the first time around, but if you return with the same problem then they escalate the investigation.