Hi! For me, my doc ordered a topical gabapentin compound cream & it’s amazing. Also pelvic floor PT :)

Do you have topical lidocaine? Also, getting into a pelvic floor specialist was crucial for me, because I found other underlying issues

Yes, I do use topical lidocaine. It’s a lifesaver. I love my pelvic floor PT…I wish it wasn’t so pricey, even with insurance. She’s one of the few professionals that has listened to me thus far…

My doctor gave me estradiol a vaginal cream. Only thing that has helped even though I still get flare ups once/twice a month, way better than before

I have tried Premarin estrogen cream, but it has a lot of irritating ingredients, so maybe I need to try a compounded estrogen cream without those ingredients

I have a pelvic wand from Intimate Rose that massages trigger points, and I do yoga. There’s pelvic floor yoga on YouTube. The Flower Empowered is the name of the channel.

Have you tried amitriptyline? Not everyone can tolerate it though.

Pelvic floor physical therapy and dilators helped me lots! Also going off of birth control pills made a huge difference