Hi Jenn.  I was diagnosed with post herpetic neuralgia at age 33. I was fortunate that within a month of my first outbrake my gyn was able to figure it out.  I will explain the treatment I received to manage post herpetic neuralgia, which is a neuropathy i felt in which the nerves are damaged due to the virus travelling through them.  Some people experience numbness with neuropathies, but I experience pain as if i had constant needles in the genitals. I was so depressed and so debilitated from the pain, i only found relief when I slept.  I had to get on an antidepressant for 9 months, (lexapro 5mg, then 10mg, and worked my way to 20mg). Before the lexapro kicked in, I took some klonopin, which is a sedative and an antianxiety medication to be able to calm down and sleep. Sleep is necessary for a strong immune system. Basically i tried so many things. For the pain,  I tried an anticonvulsion medication called lyrica which is used for people with fibromyalgia who feel nerve pain in their entired bodies. The dosage started low and then it increased. While lyrica took my pain away temporarely, it would take the pain away for 4 hours then it would make me "high" and sleepy at work.  I did not like that because i have never done any drugs and did not like that feeling. This was prescribed by my gyn and it is a controlled substance. Then he also made me a lidocaine ointment that would numb that area of my vagina at times as well. I tried accupuncture, but while that took the pain away temporarely it would always come back and then it ultimately leads to outbrakes because the same nerves where the virus travels are relaxed and also stimulated with the needles, so in the end it was counterproductive. MY BIGGEST RECOMMENDATION WOULD BE SIVANANDA OR HATHA YOGA FOR 1 HOUR WITH 30 MIN OF RELAXATION poses in between. So basically a total of 90 minutes of yoga was the only thing that truly helped me manage and even take the pain away completely.  I guess it helped me because it must have regenated the nerve endings that were damaged by the virus when it travelled. Since yoga also helped my blood circulation it must have nourished those nerves and regenated some of them. That is the only biggest advise i can give you.  Also, contact christopher scipio on line. I take his remedies too. He is the one that told me about yoga and he can give you great advice.  Google his name. But do the yoga like i said to take away the pain from the post herpetic neuralgia.