There are a number of treatment options for vulvar vestibulitis, depending on the individual and her symptoms. Treatments for this condition may include topical or oral medications, injections, physical therapy, biofeedback or in some cases surgery—as well as some combination of these treatments, as well as psychological or couples counseling, as pain associated with sex often interferes with relationships.
Topical corticosteroids applied to the vulva are often the first-line treatment for chronic inflammation; a common antidepressant called amitriptyline can be used to treat nerve pain. Physical therapy may be prescribed in addition to medication, as vestibulitis is sometimes related to pelvic floor muscle spasms. If these treatments for VVS are not successful, steroid injections can sometimes be helpful; in other cases, a surgery known as a partial vestibulectomy can relieve or eliminate pain in many women.
Diet modification, specifically the use of what’s called a low-oxalate diet, may be of some benefit, especially in combination with a calcium citrate supplement.
In addition, lubrication, such as the personal lubricants you can buy at a drug store (e.g., Sensilube or Astroglide), can help women with vulvar vestibulitis during intercourse, although your should consult your physician before using such items.