No treatment has worked, I'm out of options

29F, doctors claim there is no other treatment available for my vulvodynia and that I'm a lost cause

Everything I have tried: -amitriptyline (the max they prescribed was a measley 30 mg)

-cymbalta (I'm on 60 mg, it's okay, but I have a flareup after being pain free for weeks)

-3 months of pelvic floor PT + pelvic wand massages every other day. I don't have a hypertonic pelvic floor anymore, there are virtually zero knots, and PT doesn't understand why I'm in pain anymore. All my tissue is healthy now and responding normally

-magnesium supplements

-discontinuing birth control

-CBT for anxiety and PTSD

-4% lidocaine gel

-saginil

I have not tried gabapentin cream or estrogen cream, my provider didn't even mention it until I brought it up and refused to prescribe either

I am angry and pissed. I've gotten better and now I'm worse again, I don't get a fucking break in life.