OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

What to do?

A gynecologist did a Marcaine injection almost 7 years ago, he asked me if it hurt I said yes as when he stuck the needle in it hurt. He said I have vulvodynia and there is nothing he could do. I think he might have damaged a nerve. I have used clobetasol propionate ointment also Estrace cream but neither one relieves the pain. I also take 2 300 mg of gabapentin 3 times a day but it does not help with the pain. I am at a loss as to what to do if the nerve is damaged. I live on social security so my money is limited. I was wondering if a nerve is pinched or damage what can they do?

Female | 82 years old

1 Answer

Actually I am going to recommend that you start topical Estradiol to your vulva as estradiol increases blood supply per square inch to this also brings increased oxygen and nutrition to these same tissues. You cal also ask your doctor to prescribe viscous xylocaine and mix it with the topical Estradiol which will help decrease the pain in those tissues. Viscous xylocaine is quite inexpensive and lasts a long time so it’s easy to use and cost effective.