Step 6: Consult your doctor about surgery

If all else fails, there are surgical options available to some women. Specifically, a full or partial Vulvar Vestibulectomy involves cutting out a small piece of the vaginal wall, with the intent of removing the anatomical pieces that cause your pain. This would require a doctor's diagnosis of Provoked Vulvodynia or similar; again, surgical procedures aren't the right option for everyone.

Surgery is not only expensive, but is physically and mentally taxing. Firstly, not many doctors are trained to perform the procedure; it may take months to find a doctor in your area who has performed the surgery before. Once you have a good surgeon, it requires that you take off 2-4 weeks of work for healing. It requires vaginal abstinence for 6+ weeks.

Once the healing period is over (~6 weeks), assuming it was successful, you will likely need to work with vaginal dilators, either on your own or with a sex therapist, to re-train your body to react positively to vaginal stimulus.

While surgery isn't the right option for everyone, for some it can save their sex lives.