PGAD treatment usually focuses on symptom management.
Psychological approaches, such as cognitive behavioral therapy and support groups, have been helpful for some women. With these methods, women can learn more about what triggers or worsens their PGAD and learn coping techniques, such as distraction. Women can also learn to manage the stress, anxiety, and embarrassment that often accompany PGAD. (Often, these feelings are triggers themselves and worsen symptoms.) Some women with severe depression accompanying PGAD do well with electroconvulsive therapy.
There are also physical approaches to consider. Anesthetizing agents or ice applied directly to the genitals may numb the area and relieve symptoms. Physical therapy focusing on the pelvic floor is another option.
In some cases, surgery to correct nerve issues is helpful.
Making medication changes is another strategy. This can involve stopping medication that is believed to be a trigger. It could also mean adding a medication, such as an antidepressant.