The treatment for clitoral neuralgia includes both medications known to benefit neuropathic pain and therapeutic desensitizing blocks of the dorsal nerve to the clitoris with local anesthetics. Drugs that may be beneficial include: amitriptyline, gabapentin, diphenylhydantoin, divalproex sodium, trazodone, doxepin hydrochloride, and lamotrigine. In cases of severe unresponsive pain, chronic time contingent opioid therapy may be necessary. Anti-depressants should be used frequently since most patients with this chronic pain will have some degree of serotonin deficiency from this stressful condition. Psychosocial counseling may be necessary for many marriages.