I do think that we could rx the vaginal valium with a telehealth visit since you were an existing patient already. If you were a new patient, I would want to see you in the office first to confirm that it is an appropriate treatment.
Ideally coming in person is better, as we can make sure there are not other contributing factors that could be leading to your dilation difficulties (infections, dermatological changes, new or worsening vulvodynia). But it is understandable during these crazy times to avoid unnecessary office visits if possible.
Give us a call to set up a telehealth visit. Jackie, Leslie and I are all seeing patients via telehealth.