Hello XXXXX and welcome back,
This seems to be a chronic case. Please do not use capasaicin in this case as the hymen
is sore. If the cream acidentally touches the hymen there will be severe burning sensation.
As of now, please do not douch or use sitz bath. All of these actually suck up water from the cells if the osmolality of the fluids is not correct and so the sore XXXXXXX increases.
I suggest use a soothing ointment containig benzalkonium and choline salicylate. If this is not available just do not apply anything, leave the area undisturbed as far as possible and do not scratch or touch it as more irritation will lead to more swelling.
I would advise the use of oral drugs like etodolac
to help ease the inflammation to be taken with milk [ as they may cause acidity]. Also oral anti allergic preparations like cetrizine
for a few days can be taken after prescription to help relieve the inflammation.
A topical ointment called zytee [ choline salicylate 9% and benzalkonium chloride
0.02%] can be applied locally after testing a small bit on the oral mucosa
for sensitivity. This will help decrease the soreness and also the pain by local effect.
Avoid sexual intercourse for a few days.
Once the soreness subsides then she may simply use a lubricant jelly like glycerine to prevent exposure of that area to irritants.
If the above regimen fails then a surgical option may be sought after discussion with her gynec. However since there is soreness, I feel that the pain will subside with the above treatment. If she responds the treatment may be extended for a few more days until complete relief is achieved.
Hope this helps her. Let me know if any more help is needed.