At The Women’s Health Vulvo-Vaginal & Genitourinary Clinic, we offer a range of evidence-based treatments tailored to your specific condition and needs.
This page provides an overview of the treatments we commonly use. Your specialist will discuss these options with you in detail during your consultation and develop a personalised treatment plan.
Tricyclic antidepressants, such as amitriptyline and nortriptyline, are often used to treat chronic pain conditions, including vulvodynia and bladder pain syndrome. At low doses, these medications work by modulating nerve pain signals rather than treating depression.
Gabapentin and pregabalin are anticonvulsant medications that are also effective for treating nerve pain.
Topical medications are applied directly to the affected area and can provide targeted relief.
Used to treat inflammatory conditions like lichen sclerosus and lichen planus. They reduce inflammation and itching.
Such as lidocaine, can provide temporary pain relief for conditions like vulvodynia.
Used to treat vaginal atrophy and Genitourinary Syndrome of Menopause (GSM). It helps restore vaginal tissue health and reduce dryness and pain.
Oestrogen therapy, either topical or systemic, is used to treat symptoms related to low oestrogen levels, particularly after menopause.
Applied directly to the vagina to treat atrophic vaginitis and improve tissue health.
Hormone replacement therapy (HRT) may be recommended for women experiencing broader menopausal symptoms.
Benefits: Reduces vaginal dryness, pain, and irritation; improves bladder symptoms.
Considerations: Your specialist will discuss the risks and benefits of oestrogen therapy with you.
Pelvic floor physiotherapy is a cornerstone of treatment for many vulvovaginal and bladder conditions. A specialist pelvic floor physiotherapist can help you:
Common uses: Pelvic floor dysfunction, vulvodynia, bladder pain syndrome, urinary incontinence, painful intercourse.
For conditions like overactive bladder and bladder pain syndrome, bladder training and behavioural modifications can be very effective.
Bladder training: Gradually increasing the time between toilet visits to retrain the bladder.
Fluid management: Adjusting fluid intake to reduce urgency and frequency.
Dietary modifications: Avoiding bladder irritants such as caffeine, alcohol, and acidic foods.
Treatment is often a step-by-step process and many patients benefit from a combination of treatments.
Some treatments provide immediate relief, while others take several weeks or months to be fully effective. We’ll discuss realistic timelines with you.
We’re here to support you throughout your treatment journey. If something isn’t working, we’ll work together to find a better solution.
