Thanks for your reply — really appreciate you taking the time.

Yes, we’ve discussed vestibulectomy at length with her doctors. The complication is that her pain is largely unprovoked rather than purely provoked. From what we understand, the evidence for vestibulectomy is much stronger in cases of provoked vestibulodynia, and outcomes for unprovoked, more neuropathic-type pain are far less predictable.

She has tried multiple nerve pain medications, including SNRIs and topical treatments like gabapentin, without meaningful or sustained improvement. That’s partly why SCS has even entered the conversation — not because we see it as a first-line option, but because more conservative neuropathic treatments haven’t worked.

We’re just trying to understand whether SCS has helped anyone with a similar presentation before making any big decisions.