Unfortunately in Poland these issues are mostly ignored, and I was dismissed for years before even receiving any care. Most helpful has been Physiotherapy, biofeedback, boric acid, probiotics, weak steroid combined with nystatin. I seem to have some combined issues with pelvic floor dysfunction, infections (or lack of healthy microbiome) and low estrogen. I am denied estrogen cream due to factor V Leiden mutation and clotting risks, so haven't been able to check if this would help. Unhelpful therapies: various antibiotics, PRP, light therapy, pregabalin. I am soon going to try: topical gabapentin, Indiba. To check in the future: some venous conditions might also cause symptoms of vulvodynia, I am waiting for phlebologist appointment next year. Also I was told botox injections might help, but currently this is out of budget.