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A recent patient of mine told me about this product, available on amazon:

Syren Intimate Relief | Best Soothing Moisturizer Gel for Vaginal Pain, Itch and Dryness | Potent Topical Treatment for Women with Vulva Pain and Vulvodynia

It is a 4% lidocaine gel made specifically for the vulva and vagina.

Anyone struggling with that burning pain with dilation, trying some lidocaine can often be very helpful.

I’d love to see if anyone else has tried this.