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In March 2011, I was diagnosed with severe shingles in the S3 Pudendal Nerve Distribution (basically, in the vagina). It seems as if this must be quite rare as I've never come across anyone else who has developed it in this awkward area. Shortly thereafter the PHN began - and has never subsided. I'm pretty sure that stress and fatigue exacerbate the problem. After 3:00 pm, it definitely worsens. The only relief I get is if I take an ice-cold Sitz bath, apply Lidocaine/Prilocaine Rx cream and lie down for 15 minutes. Not easy as I am a Nanny for two toddlers! The bigger problem is that my Rx Insurance will no longer authorize the cream! I'm at my wit's end as that's the ONLY thing that helps! Does anyone know of any other topical ointment that might numb this horrific pain? It's as if I have a fiery cactus inside me, or hot blades! It's embarrassing to talk about for sure. No oral meds have helped at all. I was on very high dose Gabapentin for months - to no avail. Any suggestions would be greatly appreciated. The last 2 weeks the PHN has become much, much more painful. I can hardly bear it. Thank you!
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