Any experience with pain from dryness and inflammation in personal areas? Perineal, perianal? When I flare I have these issues, frequently with bladder or rectal urgency. No signs of infection - drainage, burning with urination or odor. It may be worse about day 3 after my methotrexate dose, but not positive yet? Ideas if it is related to RA, meds (MTX, Humira), Sicca? Would you f/up with Rheum or FamPractice?