Can topical anesthetics help with dyspareunia?
Topical anaesthetics, such as lidocaine gel or ointment, can temporarily reduce pain at the vaginal entrance for women with localised dyspareunia.
Detailed Medical Explanation
Lidocaine can be applied 10-15 minutes before intercourse to numb sensitive areas, particularly for women with provoked vestibulodynia or vulvodynia. It does not address underlying causes but may improve comfort and confidence. Use under guidance of a healthcare provider to ensure safe and effective application. NHS: Painful Sex.
Clinical Context
Topical anaesthetics are an option for women who do not respond to other treatments or need symptom relief for particular occasions.
Evidence-Based Approaches
NHS and BASHH mention lidocaine as a supportive measure in treatment-resistant cases. Long-term use should be monitored by a specialist. BASHH: Vulval Conditions.