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» Amitriptyline given for vulvodyina pain
Yesterday at 11:33 pm by WVR00

» Needing some reassurance
Yesterday at 12:28 pm by Katiej

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Yesterday at 12:24 pm by Katiej

» New diagnosis, any advice whilst I wait for a specialist
Yesterday at 3:57 am by jungleclover

» Vestibulectomy today and no pain
Fri Nov 17, 2017 3:28 pm by Dsrt16

» vestibulectomy success
Thu Nov 16, 2017 12:41 am by Hopeitworks

» MY STORY & Vestibulectomy 2/8/17
Thu Nov 16, 2017 12:06 am by Jgreen81

» Pain aftee vestibulectimy
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» Freaking out because I don't think surgery worked HELP!!!!
Thu Nov 16, 2017 12:01 am by Jgreen81

Amitriptyline given for vulvodyina pain

Tue Oct 24, 2017 2:46 pm by katycrawford

Hi there,

After years of being misdiagnosed etc as most women have on this forum I have finally been diagnosed with vulvodynia (yay) and have been given the lowest dose of an antidepressant called Amitriptyline. Has anyone been on this before and has any positive (or negative) news to give me? Im feeling down already and I've only been taking it for a few days, I don't have much hope of it …

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New diagnosis, any advice whilst I wait for a specialist

Wed Oct 25, 2017 1:47 pm by Julesyjules


I'm new here and wanted to ask for some advice whilst I wait to see a specialist nurse.

After urinary problems which lasted 7 weeks, I finally saw a urologist, who on examination discovered significant inflammation and called in a gynaecologist, who diagnosed vestibulitis. They referred me to a nurse who specialises in vulvar skin issues. That was 5 weeks ago, and I'm still waiting for the …

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Vulvodynia help

Tue Nov 14, 2017 4:27 pm by Katiej

Hi guys new here and newly diagnosed. So I had bv and then after alot of antibiotics and home remedies I still continued to have weird symptoms despite swabs being negative. Two seperate gynes have told me I have vulvodynia as a result of the area being overwhelmed. So first gave me lidocaine which xidnt do much. No I am on amitriptyline for the past 5 days. Seems to be kicking in a little (im a …

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New w/ Secondary Provoked Vestibuldynia

Wed Apr 26, 2017 11:46 pm by Birdy

Hi everyone,

I'm here because I'm pretty sure I have secondary provoked vestibuldynia, even though my gyno is still "optimistic" it is not.  My problem started six months ago when I got my second UTI in as many months (after going 25 years of life without one) and then ended up with a bad yeast infection (also my first one ever) thanks to the antibiotics.  Ever since the yeast …

Comments: 4

Newly diagnosed

Tue Oct 10, 2017 8:37 pm by Brevispink

Hello everyone. I have recently been diagnosed with unprovoked vulvodynia and would really appreciate some advice and support. I have had a chronic urine infection for 16 months and was on antibiotics for 9 of those months. I have been very uncomfortable for the entire time, but now I have absolutely unbearable stinging and burning all day with itching too. The infection has just about gone, …

Comments: 9

Recent "Poke" Pain - So Confused/Losing My Mind

Thu Oct 12, 2017 9:26 am by kelseybeth23

Long Story, but I am losing my mind and getting really depressed, so if I tell the full story maybe someone can help me.

Back in August I started to get an itch down there. Normally, in the past, when this would happen, I would change the way I wore my clothes, take more baths instead of showers, and use Monistat. This time, after about two weeks of no relief, I started to get concerned. I was …

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Does anyone else experience this?

Sat Oct 14, 2017 5:21 pm by Angelmegs

Hi— im new here. Im incredibly desperate so if anyone has any suggestions i would greatly appreciate it. Im a 20 year old female with vulvodynia and vaginismus. I was on the birth control pill (junel fe lo estrin) from age 13-18 because of severe menstrual pain. I used the xulane patch for a few months when i was 18 but eventually stopped BC altogether because it interferes with my med for …

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Post Full Vestibulectomy - 5 Years Later - Please Read

Tue May 02, 2017 6:18 pm by jen007

Hi All,

It's been awhile since I've written a new topic on the forum. Wondering if any of the same ladies are still here. I've come back to update you all on my post vestibulectomy results. I can't remember if I've done an update on my current state, so forgive me if this is repeated information... I can't remember how to view my old posts! Anyway, let me get on with my update.

For 4 years post …

Comments: 4

Do you ever worry that you're making it up?

Fri May 27, 2016 6:50 am by Lucci


I was diagnosed with Vaginismus and Vulvar Vestibulitis 10 years ago. I was 18 and scared and moving across the country for college, but luckily was able to find a doctor who specialized in 'Women's Health' who immediately put me into physical therapy. Long story short, I've been in and out of the system ever since.

A few years into treatment, I had the diagnosis of PTSD added on for …

Comments: 7

What treatments have you tried? Please add your experience.

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What treatments have you tried? Please add your experience.

Post  Tyger on Thu Jul 12, 2012 9:51 am

Hello all and I apologise if there's a current topic like this - I searched and couldn't find one.

I am struggling a lot with which path to take in terms of treatment for my provoked vestibulodynia. I have been handballed around by a lot of doctors and specialists. I noticed this thread http://www.vulvodyniasupportforum.com/t590-curiosity-in-reguards-to-vulvodynia and thought the one-stop-post was a great idea, so thought I'd do something similar but in terms of treatments, so we can all get a good idea of treatments to try, to discuss with our doctors, and why, and how effective they were for other women.

So here's the questions.

1. Is your pain provoked localized (with touch/penetration) or generalized (all the time)?
2. How long have you suffered from this condition?
3. How old are you? (or if you wouldn't like to say, just answer pre-menopausal, menopausal, post-menopausal)
4. What do you think triggered the onset?
5. How can you best describe your pain and individual symptoms?
6. Have you ever found relief for any period of time, or been cured?
7. Do you have or suspect any accompanying conditions ie. bladder conditions, bowel/anal conditions, fibromyalgia
8. Have you ever been on, or are you currently on any hormonal birth control?
9. What treatments have you tried?
Please list the treatment, the desired outcome (science behind the treatment - why were you trying this method?), the length of time trailed, and the outcome of the treatment.
List all that you've tried, including holistic therapies, psycho-therapy, anything.
Please list the treatments in chronological order, if possible. Be as specific as possible about what helped and what didn't.

Thanks so much and I know you'll all be of great help to me in my efforts to try different treatments. If you think of any better questions that should be added, please do add them.

I will answer these questions myself in my next post.


Last edited by Tyger on Thu Jul 12, 2012 12:25 pm; edited 2 times in total


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Re: What treatments have you tried? Please add your experience.

Post  Tyger on Thu Jul 12, 2012 10:08 am

My answers.

1. Provoked - pain with penetration
2. 9 years
3. 28
4. A yeast infection that was treated unsuccessfully with over-the-counter yeast medications. Possibly use of the birth control pill
5. Pain type: stinging pain not just in the vestibule but in the vagina also. Burning and rawness in deepest. Pain all throughout intercourse, from penetration and up until 24 hours afterwards. A strange "pulling" sensation in deep, perhaps due to muscle tightness from so many years of pain. Not much generalized (constant) pain, except slightly irritated.
6. No, although as mine is mainly provoked, so when I'm not having sex I don't notice it as much. But the pain has been there since 2003.
7. None that I know of. I do pee an awful lot, and feel I don't empty my bladder properly - I assume due to pelvic floor issues associated with the pain.
8. Birth control pill since a couple of months prior to onset. Levlen, then Yasmin. I stopped taking the pill this year.
Over-the-counter yeast medications.
Desired outcome: cure yeast infection
Length of time: one week
Outcome: possibly caused onset. Every subsequent time they have made me worse - avoid like the plague now.

Nizoral (ketaconazole)
Desired outcome: a long-term antifungal to cure chronic yeast infection
Length of time: 2 months
Outcome: I was eventually declared yeast free, but the pain remained.

Amytriptiline - working up to 70mg daily
Desired outcome: apparently to help with nerve pain in the vestibule area
Length of time: 4 months
Outcome: no affect whatsoever on pain. Made me feel drowsy and horrendous.

Desired outcome: to fix misfiring pain signals to the brain
Length of time: 2 months, weekly appointments
Outcome: no effect on pain levels.

Biofeedback/pelvic floor physiotherapy
Desired outcome: started this just recently - it's been 8 years since initial treatments. After my second appointment I was told I had too much inflammation in the vulvar area to continue, and that I should seek other treatments to identify what is wrong with the area. I am testing negative for yeast, and everything else, so very confused what to do next.
Length of time: 2 months so far - 2 appointments
Outcome: so far no effect.


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time and treatments

Post  GrannyM on Sat Dec 15, 2012 4:54 pm

Just to add my experience:
1.Pain always in same area on line of old episiotomy scar, but intensity varies.
2. More than 15 years
4. Post menapausal and I've always had a very sensitive skin, allergies etc. but not in that area.
5. Raw burning sensation like a wound.
7.At strat I had fybroids and posterial prolapse(misdiagnosed as of bladder)
8. briefly in my 30s
9 a) Came off HRT b)Fenton's proceedure(gynoc. thought seam tight) c) Repair of prolapse d)Excision of scar tissue.(so 3 ops in sensitive area) d)Oestrogen cream or pseearies(used long term) May help a bit. f0 Replens rehydration cream. Clots not sure it helps.g) Injections to numb nerve. Complete failure. h) antidepresants and anti epilepsy medication.Supposed to block pain receptors. Several months. Horrible side effects slight benefit. h)Self prescribed aloe vera, pomegranate ol, footcream. Latter leaves area tingling which is better than the pain but short lived.
Nothing really help, apart from the antobiotic pessaries given once years ago.Drs. happy to prescribe drugs that effect all body systems but not a locally applied atibiotic in absence of evidence of infecton.
Condition worstened by bowel motions, gardening is crouched at all, carrying weights,sitting, wearing trousers, sitting.
Sex a thing of the past(not throgh choice). Operations have worstened as pain now spreads into back of thigh.
Any research or suggestions would be welcome as sometimes I feel like jumping off a cliff. Not life threatening but chronic nature is very demoralizing.
Best wishes and good luck to other sufferers.


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a simple thing that helps

Post  justme47 on Fri Jan 04, 2013 9:08 pm

I have discovered lately that it is very helpful to wear loose breathable cotton panties at night to absorb perpiration. It really cuts down on irritation during the night and next morning. Also stay away from strongly perfumed detergents and fabric softeners. I also take a tricyclic and Lyrica (expensive, though, helps to have extended medical).


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Re: What treatments have you tried? Please add your experience.

Post  jen007 on Sat Jan 05, 2013 12:52 am

1. My pain is provoked with penetration, I have PVD according to my doctors.
2. 5 years
3. 20
4. I'm not really sure what triggered it Neutral At first I thought I injured it from a fall I had when I was 13. I also was kicked down there at 15 right around the time I noticed the pain. I was having chronic yeast infections until I switched to 100% cotton underwear. My doctor ruled out the above and said I was born with PVD from doing what I call the belly button test.
5. With penetration it felt like someone was shoving a hot knife made of sand paper into my vagina. On a daily basis though nothing really. Sometimes wearing jeans would be a problem, but then I started to wear jeggings which helped a lot.
6. All of the treatments I have undergone had not been successful. I had some relief with amitriptyline, but I had to stop using it.
7. I don't have any of the conditions you listed above (#7), but I do have panic disorder which I think might have something to do with it. I've seen from other forums and here as well that many women who have vulvodynia also have stress conditions or an anxiety disorder.
8. I've never been on birth control.

Desired outcome: Stopping chronic yeast infections.
Length of time: On and off for about 2 to 3 years.
Outcome: Would work for about a week or 2 at a time, the infection always came back up until I switched to 100% cotton underwear.

Amitriptyline- went up to 80 mg daily
Desired outcome: Stop the pain down there, making it bearable for penetration.
Length of time: Around 6 months
Outcome: It helped with the daily pains I had been feeling, but I had to stop taking it because It caused me to loose 15 lbs. in a short amount of time. This concerned me since I was only 120 to begin with. I haven't been over 105 lbs since then. It's weird because I was told it would make me gain weight, but it had the opposite effect on my.

Gabapentin- Compounded
Desired outcome: Stop the pain down there, making it bearable for penetration.
Length of time: 2 months
Outcome: Nothing changed

Gabapentin- Oral
Desired outcome: Stop the pain down there, making it bearable for penetration.
Length of time: 2 months
Outcome: Nothing changed

Lidocaine- 5% on cotton ball over night
Desired outcome: To numb out the area completely.
Length of time: Still currently using
Outcome: It worked for about 5 minutes then the pain would come back.

Surgery- Full Vestibulectomy
Desired outcome: To somewhat cure my PVD (Provoked Vestibuledynia)
Length of time: Surgery took about 45 minutes, recovery till I could walk again 2 months, and 8 months to a year to be fully healed (still in progress)
Outcome: I'd say I'm 95% pain free now. I do still have some painful areas, but nothing like I used to be. I'm able to have sex as long as I dilate everyday for 10 minutes with the largest dilator in my set and lots of lube! I also use the lidocaine gel before sex. The only problem is I'm not able to...finish or get any pleasure out of sex. I think it's because of lack of experience and just getting used to the fact that I can have sex with out it being painful. It's kind of hard to think about it not hurting. I'm hoping eventually it'll get better with some future pt and some practice.

Hope I was able to help out :]

Last edited by jen007 on Sun Jan 06, 2013 3:01 pm; edited 1 time in total


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Re: What treatments have you tried? Please add your experience.

Post  cba321 on Sun Jan 06, 2013 7:21 am

1. My pain is provoked
2. How long have you suffered from this condition? 8 years, since first sexual experience, however have never been able to insert a tampon so that would make it 13 years
3. How old are you? 27
4. What do you think triggered the onset? Not really sure, only significant thing that happened was a fall between my legs at age 6 years or so, no major infections in the area
5. How can you best describe your pain and individual symptoms? extremely tight muscles producing significant muscular and neuropathic pain with any penetration of the vagina. Burning, stabbing stretching type pain
6. Have you ever found relief for any period of time, or been cured? Botox and stretches have helped to relax the muscles, however I am still under the influence of Botox so whether the effect will continue after this has worn off remains to be seen.
7. Do you have or suspect any accompanying conditions ie. bladder conditions, bowel/anal conditions, fibromyalgia - I have always had digestion issues which my Physio believes is related to the tight pelvic floor muscles
8. Have you ever been on, or are you currently on any hormonal birth control? I started using birth control well after my first sexual experience. I have not been on the pill for 9 months now and have found no difference whether I am on the pill or off it. As I had not touched the pill before my symptoms appeared they could not have caused it.
9. What treatments have you tried?

1. Botox treatment in conjunction with physio and daily stretches to the pelvic floor muscles
Desired outcome
Lengthened pelvic floor muscle, with the botox giving me a chance to stretch the muscle out which was not previously possible
Botox injection on the 4/7/12, which should last for around 6 months. Currently the botox is still working so I am not sure if my ability to use the largest dialator will continue when the botox wears off.

2. Endep
Desired outcome
Decrease neuropathic skin sensitivity pain, tried on 2 occasions for about 4-6 months, on a max dose of 20mg
Took the edge of the nerve type pain affecting the outside of the vagina, stopped due to the very adverse side effects, depression, excess sweating

3. Montelykast
Desired outcome
Stop inflammatory response from mast cells. Trialed this for one packet (a month), Gyno said there would be a response very quickly if there was going to be one
no change at all

4. Biofreedback
Desired outcome
Train muscles to relax more by use of a meter to show me when the muscle is most relaxed
Gave me a good understanding of how to relax my muscle which is completely different to any other muscle in my body, however did not give any significant change however my muscles were extremely tight, almost like bone. If your muscles are not so much in spasm this may assist more.

5.Psycho therapy and hypnosis/mindfulness
Desired outcome
To be able to deal with this disease better and live a healthy balanced life. Mindfulness to allow me to distinguish between pain that I have made in memory and pain which is an actual sensory experience. Hypnosis to access deeper emotions about the condition and life and deal with it better
A must for anyone with this condition. Having someone to talk to about your darkest thoughts regarding this beast is very important as it is not a good idea to constantly tell a loved one. Have just started hypnosis and mindfulness but can see how they can help

6. Large doses of antibiotics and antifungals despite negative test results
No change at all

7. Chiropractor
Desired outcome
Align my spine snd pelvis so that when my muscle re-engage post botox, my skeletal system is in the best possible position. Help with neuropathic pain
Some neuropathic pain relief but have only had 4 sessions



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