
Good Afternoon, I Had An Episode About 4years Ago Of

I had an episode about 4years ago of severe burning in the vulva. After many trips to different GPs they decided that it was nerve pain and over sensitive nerves. I was prescribed 20mg amytripteline and anesthetic gel. After couple of months it went totally but I was advised o keep taking the amytripteline and put the dose down to 10mg. I looked on the internet for what this may be and saw a whole string of depressing sites about vulvodynia and chronic pain. I was totally without any pain for 4 yrs until now. it is slightly better today and I am wondering if this could be the above and if so I am in some sort of flare. do you know anything about this ? any advise would be realyy helpful
Can be mild form of vulvodynia.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
The pain in the vulva that you are feeling can be a mild form of vulvodynia. This can be due to a mild nerve root compression at the level of lower lumbar spine also. Amitryptaline and methylcobalamin supplements can effectively treat a flare up. In case these do help then you can get stronger medicines like Gabapentin prescribed by your neurologist.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
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Wishing you good health.
Regards.
Dr. Rakhi Tayal


Methylcobalamin supplements can help.
Detailed Answer:
Hello.
Thanks for writing again.
The flare ups can happen due to mild nerve irritation or compression. They can last till the inflammation subsides. You need to add an anti inflammatory medicine and methylcobalamin supplements to help the flare up subside. Avoid increasing the dose of amitryptalin without consulting your doctor.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.


I was in absolute agony last night almost went to A and E although not sure what they could do. I have heard some people cannot live with this and that really scares me that it will not go away and I won’t be able to cope in yr experience does this go away and do these painful flares last a long time. I think I have read too much stuff on the internet about people not coping and having no relief a positive note would help thank u
Flare ups can be controlled with medicines.
Detailed Answer:
The flare ups can be intermittent and can happen for a long term but these can be controlled with the help of medicines. You need not worry. Do start with methylcobalamin supplements after getting your vitamin B 12 levels evaluated.
Regards.


Local moisturizing gel can help.
Detailed Answer:
The itching and burning is also related to the neural cause. This can also subside with regular use of moisturizing gel like aloe vera gel or vaseline.
Regards.


You are welcome.
Detailed Answer:
This will subside after a few days. A flare up can happen after weeks or months and the flare up cannot be predicted. The flare up may not happen again but it is very difficult to say if this will happen or not.
Regards.


Flare ups can be treated.
Detailed Answer:
Hello.
Your problem is not so serious so as to commit a suicide. All the people in the support network do not have the same severity of problems and can have other problems too. You need not worry. The occasional flare ups that you have can be well treated with the help of medicines.
No need to worry.
Best regards.


You are welcome.
Detailed Answer:
I am happy I could help.
Do recommend our services to your friends too in case you find it helpful.
Wishing you the best in whatever you do.
Best Regards.

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