Anti-Candida creams such as clotrimazole or azole. For stubborn cases, low dose, suppressive therapy of Diflucan once or twice a week may be required for several months. Low-oxalate diet and supplements of calcium citrate. Oxalate crystals, which are normal byproducts of the body's metabolism, are excreted in the urine. Oxalates are very acidic, and can irritate the mucous membranes of the vulva when overproduced.
Calcium citrate alkalizes the urine and suppresses the secretion of oxalates.
Foods that are high in oxalates include all beans, beer, beets, berries, celery, chard, chocolate, eggplant, some grapes, green peppers, peanuts, rutabagas, spinach, squash and tofu, to name a few. Surgery removes the hypersensitive tissue of the vestibule and hymen. Often considered as a last resort, surgery has a high success rate for appropriate candidates. Tips Medical treatments for vulvodynia may not always work, or if they do, they may take a while to take effect. In the meantime, there are a number of self-help remedies that patients and their doctors have found that provide some relief or may prevent flare ups or worsening of symptoms.