I am in Canada as well. I have lichen sclerosis which has caused nerve damage to the vulva for years, before I was diagnosed. Consequently my life was not great. I did have a couple of minor surgeries to release adhesions. Finally I was referred to Dr. Melanie Pratt. At the time she was head of dermatology at the Ottawa Civic Hospital. She correctly diagnosed my condition. Now I use Clobetasol ointment and take amitriptyline and Lyrica and my life is back on track, the nerve pain only rarely flares a bit. But all in all other problems, such as chronic tinnitus are worse by far. I hope this helps you somewhat. Good luck finding a solution.