Sorry it took me awhile to respond.
I have not had a patient with this directly… remember I do peds ๐
But things I would think about:
-the same kinds of treatment protocols that Betsy has spoken about for pain syndromes at PWC 2021 and 2022 (or was it PWC 2021, and then the Peptide intensive?). It would be worth going back and watching one or both of these.ย She is excellent and giving clear and precise protocols when she lectures.
-cerebrolysin, ARA, and/or local vaginal estrogen would all be some of my thoughts.
-An excellent and savvy PT who specializes in this region.
-And of course, counseling (esp if there was trauma physical or emotional)
Betsy (@byurthgmail-com) do you have anything specific to add (in case Erich hasn’t heard you speak on this)?
-Cynthia