How I cured my vulvodynia
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I see so many posts on here about constant or provoked vulva pain that I thought it might be useful if I explained vulvodynia and how I cured mine. Vulvodynia literally means vulvar pain and is a condition of the nerves in that area. The nerves have become hyperactive and hypersensitive due to trauma which can be chemical or physical in source or due to infection. I think mine was due to persistent thrush infection and the many remedies I tried to cure it, including home remedies such as bathing in a bath with some cider vinegar in - that made my soreness much worse (chemical trauma). Vulvodynia can cause itching, sore or burning sensation and this can be continuous or provoked (only happens when the area is touched). The nerves are so hypersensitive they register touch as pain and the usual way to diagnose it is to touch around the vulvar area with a cotton bud and where the touch registers as pain then that is the affected area. It can involve the whole of the vulvar area or can be in a horseshoe shape toward the posterior (which may also involve the perineum) or the anterior or can be offset to one side. The pain is a form of chronic neuropathic pain because it stems from nerve damage as opposed to nociceptive pain which is caused by tissue damage. Neuropathic pain can be very hard to get rid of. It took me 1.5 years of determination and the occasional disappointing set back to cure my vulvodynia. Probably more like 2 years to get back to normal.
Ok, ready for a long story about how I cured my vulvodynia:-
First I saw a gynaecologist. He took a biopsy of the painful area and confirmed no diseases or cancer. He put me on amitriptyline and steroid cream. These slowly worked for a while and made me comfortable enough to have a long overdue smear test. I had the smear test and the pain came back full force - back to square 1. By that time I had used the steroid cream for as long as is recommended and had stopped it (long term use not recommended). However, desperate to get rid of the pain I tired it again, but this time the cream stung me and made the pain worse. The gynaecologist gave me lynocaine cream to numb the area, but that stung me and made me worse. Nothing was working and in the end the gynae said that he could not cure me he could just help me managed the pain. Well, I wasn't going to put up with that for the rest of my life. So I did some investigating to find someone else who could help me and found a dermatologist consultant in Oxford who specialised in vulva pain. I also found some medication on the internet, made in Italy which is a gel is specifically for treating vulvodynia. It calms down the overactive and hypersensitive nerves. Saginil gel - you can order it direct from the suppliers, epitech, on their website. You can do this because it is not classed as a medicine because it is made of natural plant-based ingredients. It is expensive, as is the post from Italy, but I am so pleased I bought it because it was the only thing my skin could tolerate there and it did make a difference - it reduced the pain so that it was bearable and I could function better with daily life.
i saw the dermatologist and she told me all the things that she had found worked to get rid of the pain, but nerve pain is difficult to get rid of so she suggested I try them all and stick at it. i was surprised because, appears from upping the amitriptyline dose to 50-70mg a day (I was on 20), the rest of the things were what you would class alternative, or natural, cures. They were: western acupuncture, physiotherapy, chiropraction and manual desensitisation. Now, different things work for different people because there are different causes for the vulvodynia: infection, physical or chemical trauma, hormones, trapped nerve in back. I knew mine was caused by repeated and persistent thrush and the various treatments I tried to get rid of it (including cider vinegar - ouch! No!). So I didn't see a chiropractor because is didn't thing it stemmed from a pelvic nerve problem, however, from what you describe, yours might. I did do yoga exercises that free trapped pelvic nerves. I bought a book on pelvic floor exercises and did those, rather than see a physio. I did the manual desensitisation - this is where you stroke yourself very lightly in the painful area, using non-irritating lubricant (I used oil based lube by yes, or coconut oil), just once the first day. Then each day you gradually build up the strokes in number and pressure. The idea is that you are retraining the nerves to register touch as touch and not pain. So, massage yourself there just enough so as not to cause lasting pain afterwards. I built it up until I could do 100 strokes of fairly good pressure, then I moved into inserting a finger, then two, then the tip of my husband's penis and then gradually out him in a little further each time, until I could get most of him in, then starting moving with him in, again gradually building it up each time. I also found a GP that also ran a Western acupuncture clinic. Western means that they leave the meddles in and pass electricity through them. That was what really worked for me - each time I went I just got better and better. Apparently the amitriptyline and the acupuncture work well together to dampen down those hyperactive and oversensitive nerves. I upped the amitriptyline to 50mg as day, very gradually by 5mg every 1 or 2 weeks because it caused side effects so my body needed to adapt to each increase.
Finally, there are the changes to how you live. No tight clothes, no sex (until you are ready), no exercise (I gradually built that up too but walking just a short distance and gradually increasing it - never do an amount that cause she lasting pain). Go knicker free if you can - I work mainly from home so was able to go around with no knickers on and baggy jogging bottoms or a skirt. Sitting also caused problems (I work at a computer) so I got a ring shoved cushion form woman to use after they have given birth and sat in that so that there was no pressure at all on the sensitive area (dame for driving the car). Coconut oil was soothing (raw, cold pressed, organic coconut oil) so I applied that externally and internally with a clean finger after every time I went to the loo (I carried a little pot in my hand bag so I could apply it while out and about with an organic, pesticide and bleach free cotton pad). No scented products on that area, in fact I didn't wash there at all, I used coconut oil to clean the area and when showered I used organic, nasty chemical free and scent free body wash and shampoo and conditioner (because stuff runs down). I also washed my clothes in scent free, kind-to-skin laundry detergent and conditioner. Toilet paper has bleach in it, so I got some tissues that were bleach free and used those to wipe after doing a wee.
The key is to be persistent, try everything, gradually build things up, stick with what works, be determined, don't give in. The consultant dermatologist was very impressed with me because I was so determined and didn't give into urges. She said she had many women who just got fed up with how long it was taking and just went for a long walk / bike ride / horse ride or had sex and put themselves back at square one again. It does take a long time - it took me 1.5 years of all that stuff in my message above to get to being pain free. Even now, 5 years later, I still apply coconut oil after every time I go to the toilet, use tonnes of oil based lube during intercourse, go around the house wear no knickers. I don't want it to come back. I am also still on 50mg amitriptyline a day. At first I was afraid to come off it because the consultant dermatologist told me, you may be pain free, but if you come off it too soon, the pain can come back. So it is best to wait a few months after being pain free. Then menopause set in and I got hot flushes and my GP told me to stay on the amitriptyline because it helps with hot flushes. My body has adapted to it now. I hope to reduce the dose sometime (gradually, by 5mg very 2 weeks, just like I built it up). I still do pelvic floor exercises - the book I got was called 7 steps to pain-free sex by Claudia Amherd. It is mainly about vaginismus, but the exercises apply to vulvodynia too - just don't do them sitting on a juggling ball (ouch) do them standing up first, then lying down, as it advises in the book. Gradually build up the exercises, doing more and more each time. Again, don't do so much that it causes an increase in pain or lasting pain - cut back if that happens.
Also, you need to get some organic, chemical free sanitary towels for when you have your period (no tampons).
13 likes, 1041 replies
Suki_girl
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linda41401 Suki_girl
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That's useful to know, I assume all of these products, are only to be used on the outside of vulva area, nothing put inside lips or anul passage at all?
Suki_girl linda41401
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linda41401 Suki_girl
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Suki_girl linda41401
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KKay Suki_girl
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Hello ladies
I just want to jump in and say how extremely helpful all of this discussion has been, I've been following all the posts carefully and taking notes - I have had the same thing for over a year- I think in my case its a combination of VA (early menopause and zero estrogen for years), very dry skin all over (doesn't help with the VA) and pelvic muscle issues. I've addressed the estrogen with systemic HRT and local estriol, both which helped, as well as Diva laser. Its all much better but still lurking in the background with occaisonal burning flares so the next step is to go for PT. I also have a lot of pain around my coccyx so I think that there is definitely something going on with the nerves in the whole general area.
Good luck to everyone.
Kkay
Suki_girl KKay
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Suki_girl
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KKay Suki_girl
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Yes, absolutely, but I haven't found find a western acupuncturist where I live (India)
Suki_girl KKay
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KKay Suki_girl
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I don't know much about it
linda41401 KKay
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Hi Kay, I am thinking of trying acupuncturist for my Vulvadynia. Suki mentioned finding one that practices western acupuncture but I also haven't found one, I live in England. I found a fairly local practice with 4 female acupuncturists and I am going for a free 15 minute consultation next Friday. I asked her if she had heard of the condition, she said she had and had good success in treating it, so I will probably give her a try. She did say if I really wanted the western acupuncture she could put me on to someone who dealt with this,but she said in her opinion the Chinese method is equally as good.
bearbear4 linda41401
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I couldn’t find a western Accuptunure or an Accuptunurist that knew about vulvodynia.... however I have had my first Chinese Accuptunure and they have recommended that this is actually more highly skilled than western kind as it requires much more studying - my Accuptunurist researched what vulvodynia was before our consultation (she has treated people with menstrual problems) and said that Chinese Accuptunure can help so fingers crossed!!!
linda41401 bearbear4
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Hi bearbear, how do you manage to work, I can't as mine is sitting all day and it's too painful to sit too long. I am in Wiltshire, where are you based? I found a chinese acupuncturist so good to know that is good. What did she do on your first session. Did you feel any different after it? I am really hoping it will work. Has a bad day today, uncomfortable feeling all day and pain around 6pm and very weepy. Fingers crossed for you!!
bearbear4 linda41401
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I also found sitting down all day really painful but have noticed since doing yoga and pilates that stretching has helped my symptoms - today I came out of pilates and it stopped my symtpoms completely as in pilates you have to engage your pelvic floor muscles and control them whilst learning to breathe with it.
As for my Accuptunure I am based in Sussex but I had a 1.5 hour session to begin with, she went through and asked about my whole medical history and what my current symptoms was... she explained how she had a chronic health condition herself and this is why she got into stidying accupumture as she healed herself!! She explained how Chinese Accuptunure works (it all makes so much sense) and then began with the treatment. I only had 4 pins (one in foot, 2 in leg and one in hand) didn’t hurt just uncomfortable in some places then she put this Chinese herb think called matcha and put it at the top of the needle and lit it with a lighter.... when it burns it makes the needles go hot and is a lovely warm calming affect on my body!
I do honestly believe that this may help me get better... it was very good to relax me and let my body relax (after months of streessing from this bloody condition)!! Give Chinese Accuptunure a try... I am and will let you know of my progress
Hope this helps! Any questions just ask!
linda41401 bearbear4
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Hi Bearbear, I also have a donut cushion but can only sit for about half hour at a time, so going into the office would be unbearable, at the moment I am working at home, my boss said just do what you need to get better. Not sure how long he will allow me to do so thoigh, although I did say I could go long term sick, but think he prefers that I work from home than do this. I too think the yoga and meditation is helping quite a lot plus lots of pelvic floor exercises all day too. My free 15 minute consultation for acupuncture is this Friday when I shall book the first session if I get on ok with her. I really hope it will work. You sound as if you are feeling the benefits from your acupuncture too. How often are your sessions? And how many do they say you might need? I have had quite a good weekend so far, managed to shop Sat morning and did a half hour walk in the afternoon, and today went to town and had an hour looking round shops. Not too much pain at all. Not sure if it's the yoga, increase in Nortriptyline or Dermot 500 cream, probably bit of all.
Suki_girl linda41401
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linda41401 bearbear4
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Hi Bearbear, just wondered how you are getting along with acupuncture and how you are doing pain wise? I am seeing the acupuncturist this Friday for a chat before booking. I think the pain has decreased though slightly since last week. I am hoping it will slowly get better each week. I def think my yoga and exercises are paying off, and it's really strange because I have noticed that whilst I am doing the meditation cd, which is 45 minutes long, I have absolutely no pain at all, which really makes me think it's also stress related and whilst in deep meditation the nerves must be relaxing also. When I get a bit of aching now I pile on the Dermot 500 and it cools and settles it down now. I haven't had the real bad stinging pain now for quite a few days, just the aching and slight burning but not bad. Although I am still taking Sukis advice and relaxing, doing nothing most days, just being lazy and reading. The odd walk I do for an hour at most is bearable too now, plus sitting on my donut cushion in the car is much better, at one time I couldn't stand sitting in the car at all. I am really hoping that the acupuncture will finally zap it. The Nortriptyline at 20mg is better I think, but I will try 30mg soon. Let's hope we all bear it very soon 😛
linda41401
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Hi Bearbear, booked acupuncture for next Tuesdsy. Will let you know how it goes, she seemed very nice lady and confident she could help me. She said I has lots of channels blocked that need freeing so fingers crossed, how are you getting on? I have had couple of fairly good days, went out all day today without any stinging pain so hopeful it's getting a bit better.
linda41401 bearbear4
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Hi Bearbear, how are you progressing with this awful condition? How many sessions have you had so far and are they helping at all? I had my first session with Chinese acupuncture last night and it went ok. She asked lots of questions first, re food, life style, family etc then put in about 12 needles in knee, foot and toes for around half hour. She said there is blocked channels with a lot of damp in some. She took blood pressure which was good, 120 over 80. Then explained she wanted to treat the condition not just the pain, but next time she may put some in spinal are for pain also and use the herb you mentioned as my body is very cold. I can't say I noticed an immediate change though, perhaps it will take a few sessions. Got another next Tuesdsy. I did notice though that whilst the needles were in me, I had a strange smell, like a sort of burning, but it was only me could smell it. It went once the needles were out. Also I have been quite pain free since Friday, but once I arrived there the pain came back with avenged do which shows its stress related, it did go when I got home again. Like to hear how yours is going.😀
linda41401 bearbear4
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Hi Bearbear, how are you progressing with your acupuncture? I had my second session Tuesday and I think it is def helping. She put needles in my knees, feet and also my spinal area this time and said my pulses are improving and clearing. When she put the needles in my knees I felt nothing when first put in but then felt a surging and unusual pain fir few seconds which she said is the nutrients rushing through. I also felt very calm and sleepy too after this session, and yesterday was the best day I have has with no pain and almost felt normal again. I can sit now for longer periods of time and going in the car no longer hurts. I think things are slowly getting back to normal again, and I honestly think it's the acupuncture working. My acupuncturist Kent me a book explaining how it all works which is really good. She said whilst in China she actually watched a caesarean birth all done by acupuncture, no drugs at all. They even do open heart operations purely with acupuncture.
i have noticed a vast change in my mood too, much more relaxed, which I also think is due to the acupuncture as she is treating the whole body not just the Vulvadynia.
I must say say a huge thank you to Suki, because I know without all her help the past few weeks I know I would never have reached the point I am at now, her knowledge and help has really saved me from a miserable existence and I am sure many others too.
bearbear4 linda41401
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Sorry I haven’t been replying... this thread always goes into my junk email!
I haven’t given so good over the last couple of weeks... was very defeated yesterday and have been very negative over the past few weeks thinking I’ll never be pain free or have painless sex again. I also get sad as I see some people only have either provoked or unprovoked whilst I have both.
I have my first gynaecologist appointment in a week which I’m really looking forward to although I do feel they will tell me to do the same thing that I am doing!
I am still trying my best though to do everything... although I haven’t been to yoga in a while and I did noticed it was better when I didn’t that. Accupunture defo makes me feel better once I’ve come out, I always feel pain free during the session and the night a after the session. I think that I may be rushing things abit.. after my session last Friday (I do it every Friday after work) I tried doing pelvic floor exercises but keep doing them wrong (I just squeeze in and out) as I don’t understand how to engage it properly despite having that book. I did manual desensitisation but then put one finger in then a small dialator. It was fine that night but then the days since have been probably the worst it’s been. I also wonder if it is diet related so from next Monday I am going to cut out the nightshade family foods to see if that helps.
I couldn’t find a donut cushion online (UK)....
I am using coconut oil which seems to soothe it.
It hurts a lot more when I am sitting down at the office all day during the week but I also work weekends and have to wear jeans.... I am doing my placements 9-5 as I am a social work student then waitress at the weekends and then I try and go to gym in the evenings sometimes..... so I do a lot! Exercise seems to not make it worse if I wear big comfy shorts!
I am also wondering to come off the pill but need to try one thing at a time first (food illumination) next I think.
I am getting exhausted though and worry about my degree.... I constantly research about this every single day and this is distracting me away from my masters degree work!
Hope everyone’s journey is going well.... I need to restore my faith again!
Suki_girl linda41401
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Suki_girl bearbear4
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Suki_girl bearbear4
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linda41401 bearbear4
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Hi Bearbear, please don't get too upset over this, you will beat it eventually. Look back at my first posts on here,ni was just so down and negative, and like you thought it would never ever go but thankfully with a lot of effort and trying everything possible, I feel it is now gradually going. I think being negative which I know myself is really hard not to be, but it makes the condition worse as I am sure it is partly stress related as every time I felt stressed the pains got worse. The thing I did first was to arrange counselling every week to help me talk things through and learn to be more positive. If you are really depressed then they will help a lot. Are you on Nortriptyline at all? I am now on 30mg, and I think I don't need to go any higher as this seems to be working. I have had no bad side effects from it but if you do, then they soon go once your body adapts to the drug. Also the acupuncture should help too, I feel this has been the final boost for me, I have had 2 sessions now and really feel better after each one. My acupuncturist did say that it doesn't always work straight away for everyone, some people it takes around 6 sessions to benefit, so don't give up. Also make sure you do the yoga every day, I do it at home, only takes around 15 minutes a day, the baby pose and knees to chest and I really believe the pelvic floor exercises do help, I do 10 of them 4 times a day, so 40 a day. If you aren't sure you are doing them correctly, practise on the loo, when you pass urine, try to stop and start the flow, if you can do that, you know you are doing them correctly, just hold everything under there in. I didn't do the manual desensitisation much, I tried a couple of times but not internally just the outside. But I thought it best to leave that, as in my mind the nerves needed to be left to settle down on their own gradually. Are you also drinking lots of water? I try to drink 6 glasses a day. I also think you might benefit from the diet too, I have just gone right back to basics, nothing but water to drink, and no food with more than one ingredient, it might give the body a rest from digesting lots of diff foods. So I only eat cereal, meats, veg, fruits, nuts, cheese, eggs and pulses nothing else at all.its a bit boring but it's not forever. My acupuncturist feels I am doing my body good too. Also no potato or tomato either. But can eat rice and pasta. You can get donut cushions on line, just type in donut cushions and they are in Argis, Boots and other places too, it is a great cushion as the sore parts go into the hole so not actually touching anything, hence not painful to sit, I don't go anywhere niw without it. I have used both coconut oil and Dermot 500 cream and to be honest, I actually find I get more relief from the Dermot 500. I tend to use the coconut oil at night and the Dermot on in the day after each loo visit. I wouldn't wear jeans though, I normally live in jeans but have not worn them since November now, try leggings instead, much mire comfortable. It's really exhausting doing all these things but I feel it's needed to finally get rid of it, plus by concentrating on all these things you aren't worrying over it so much. Also get a meditation cd, and do that every day too. It's great for relaxation and expect it also helps to relax the nerves too.
Dont despond, you will get there as I think I have now almost. I am now believing it will go which is far different to how I felt a month ago. I am in month 4 now.
keep in touch, talking helps I found, this post was my life line.
Suki_girl linda41401
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hay123 bearbear4
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Hi Bearbear,
Sorry to hear your not in a good place. Keep going at all things you are doing.
Mine seems to get worse if i sit down for a long time, i got a cushion called boney parts, was around £26 but worth every penny!
Dont know if this will help anyone but i purchased sensitive sanitary towels which were quite pricey so this time round i just got always senstive thinking there would be no difference but i must say i feel really irritated today so dont know if that would make a difference for anyone.
Got my physio therapy at the end of the month which i cant wait for! Xxx
linda41401 Suki_girl
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Hi Suki, just thought I would say I am beginning to feel almost normal now. I have now had 3 acupuncture treatments and having weekly ones at the moment, which I think must be helping. Although I never feel any different whilst actually having the treatment. But I have had no stinging pain now for almost 3 weeks!! Still a slight discomfort but not all the time. I am now on 30mg of Nortriptyline and wondering if to go to 40mg or stay on 30mg as the pain has gone. I feel so much better mood wise now, and have had my last counselling session this week, as I feel I no longer need them. Still doing the diet, no potatoes, tomatoes etc and onky drinking water.
I have a lot lot if cattaghh at moment, not sure if side effect of Nortriptyline or not.
Meditation going well also yoga, in fact I am frightened to stop anything just in case the stinging pain returns!! I shall soon have to return to the office after working at home for 4 months almost but I feel I may be able to cope now sitting, as long as I use my donut cushion. I am actually now looking forward to my holiday in May, which before I was thinking of cancelling. I also am not thankfully thinking of it 24/7 like a few weeks ago.
it looks as if this awful condition can finally be beaten, something I thought would never happen. I can't thank you enough for all your advice, it has been my life line.
Suki_girl linda41401
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