Compounded formulations in the form of pessaries or suppositories allow active ingredients such as lidocaine, gabapentin, amitriptyline, baclofen, or pentoxifylline to be combined, depending on the predominant pain mechanism.
Lidocaine may provide rapid relief by blocking nerve signal transmission. Gabapentin and amitriptyline are used to address the neuropathic component, while baclofen may help relax the pelvic muscles and reduce spasms.