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What are the treatments for vulvodynia?

There are several options to treat the symptoms of vulvodynia. These may include lifestyle changes and therapy, medical treatment, and surgical treatment.

A variety of treatment options may be presented to patients, including:1

  • Topical medications, such as lidocaine ointment (a local anesthetic) or hormonal creams
  • Drug treatment, such as pain relievers, antidepressants, or anticonvulsants
  • Biofeedback therapy, intended to help decrease pain sensation
  • Physical therapy to strengthen pelvic floor muscles
  • Injections of steroids or anesthetics
  • Surgery to remove the affected skin and tissue in localized vulvodynia
  • Changes in diet (for example, some physicians may suggest a diet low in oxalates, which can form crystals in the body if they aren't filtered out by the kidneys)
  • Complementary or alternative therapies (including relaxation, massage, homeopathy, and acupuncture)

Types of Treatment for Vulvodynia