Increasing social contacts and distraction with career and recreational activities are beneficial. The determinative factor is that the signaling mechanism of clitoral sensation becomes abnormal. However, light touch of the clitoris will reproduce the pain. Anti-epileptic drugs AED such as gabapentin and pregabalin may be administered in a slow titration spanning over three to four months to avoid the common adverse effect of somnolence which is of particular concern in pSS patients where underlying fatigue is a common symptom. Skin break-down and ulcerations may form. Stopping repetitive motions that cause carpal tunnel syndrome should help stop the neuropathy. It is manifested by pain localized to the clitoris with or without associated pain such as vulvar vestibulitis and pelvic floor myalgia.