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I can appreciate your need for over-the-counter treatment. I found this website for you: The University of Iowa Hospitals & Clinics Department of Obstetrics and Gynecology: www.uihealthcare.com/depts/.../vulvarvaginaldisease/vestibulitis.html  In the article titled, Vestibulitis, you will find information on associated causes. There is a section devoted to helpful tips to relieve symptoms. Except for Lidocaine, all of the recommended products can be purchased without a prescription. I hope this helps. Maryann