I have a suggestion that may help others, although with the ob/gyn I saw, I did not receive what I was asking for.
I saw a specialist who I believed would help me explore alternatives to lubricants for my pain. During the first visit, I explained to her that I had been given the lubrication and the estrogen therapies (what I call basic treatments, although these can help!), and that I was looking for another therapy. I emphasized my frustration, desperation, and desire to find an unconventional and even radical treatment. I explained that I was wanting to by-pass the basic treatments and explore other treatments (I asked about permanent numbing, with nerve deadening or even something like novacaine to deaden the pain). Nearly one year later, I was told that there really weren’t further treatment options available.
I still believe it is important to be honest with your doctor about where you are with your anxiety and feelings about your desire to move forward. Although this ob/gyn apparently had not heard about other treatments such as is offered by Dr. Pacik, you may find that your doctor (or even a friend) is aware of it.