vulvodynia
"I have very painful episodes of pain associated with lichen sclerosus.  I am not a daily user but when I have peak pain levels of 6 or 7 tramadol has been helpful and allows my body to return to a more tolerable pain level after a few doses. So far I haven't used more than 2-3 50mg tabs daily for a few days at a time. My pains are controlled better by topicals but when pain peaks after exercise or physical demanding tasks tramadol along with topicals have made life at those times more bearable. Vulvodynia probably may have painful experiences comparable to those of painful Lichen Sclerosus with disfiguring skin changes."