Do not expect an amazingly fast response like the FGI client below. She was 100% at 4 months. Reading responses like this on the FGI website does give all clients with vulvodynia great hope, but this only occurs for about 10% of clients. The majority of FGI clients requiring longer treatment periods before ideal response is achieved, so it requires much more patience despite continuing to live with the horrible symptoms until response begins to occur. All the talking to other FGI clients on social media will not speed up response. The vaginal mucosa and the microflora are biologic entities and their response to medications are individual, based on unique tissue characteristic with multiple variables. These include the blood flow in the vaginal mucous, the tissue transudate fluid ability, and hormone receptor function and concentration. The “average response” FGI client takes about 8-12 months for a significant response. It can take up to 3-3.5 months before any response may occur. The clients who tend to get really frustrated are those that will take longer to get a significant response than the entire time they have had symptoms such as those presenting with symptoms for only 4-6 months. But unbeknown to them, without proper treatment, these clients would have symptoms persisting for years to come. Please read the testimony with further explanation below.

“I had been suffering from vaginal dryness and what I thought were some kind of ulcerations in my vulva area, extreme pain like razor blades and rawness with numbness.  I had gone to see everyone from gynecologist, urologist, internal medicine, neurologist, just to name a few.  After being misdiagnosed with genital herpes and vulvar shingles, I had had enough and decided to take the referral from my gynecologist and general doctor to go see a vulva specialist.  So four months after walking into Dr. Fowler's office, I'm perfect! No symptoms what-so-ever. Sex is back to what it was when I was much younger, before I went off of hormones, good lubrication, no irritation and everything works, no sensitivity. It's pretty amazing. I had improvement after two months of being on the protocol with progression until resolution. No more skin outbreak either. I wish more women could have access to this information.  I suffered needlessly, (and so did my new husband) for over a year and a half.  Horray Dr. Fowler!!!!!”  Thank you. J. Phoenix, AZ

Notice that this FGI client had experienced vulvodynia symptoms for over  1.5 years.  She had improvement beginning after 2 months being on an FGI protocol and achieved 100% relief by 4 months on protocol. Of course that is fantastic and this does happen, but only 10% of the time. So this is not the average response, and I am careful to explain this to clients at their first visit. In medicine, response has a bell shaped curve. Vaginal mucosa and biologic. There is the small percentage of fast responders, then a large percentage of average speed responders, and then a small percentage of slow responders. Fast responders occurs in about 10% of FGI clients. About 80% of FGI clients are average responders. At best they are 50-60% better in 4 months and 80-90% better in 8 months, usually with slow progressive response thereafter, then about 10% have more refractory vaginal mucosa requiring at least 1.5 to 2 year to achieve ideal response. Comparing your response to others can be not only frustrating but counter-productive. Also calling me to say you are not responding before a 4 month interval has been completed is not helpful either. Getting results from the FGI approach requires being patient for the medications to have enough time to exert their effect, being compliant with the protocol and interval follow-ups every 4 months until significant response is achieved.  This may mean two or more adjustments to the protocol based on the objective response of the VFA testing. The good news is that thousands of women had achieved great success with FGI.