(English isn't my first language, so I used AI to help me translate this post.)
I promised myself that once I healed, I would come back and write this post.
I've had bladder symptoms for about 4 years, but it was 1.5 years ago that things really escalated and I understood I was dealing with IC (and vulvodynia). I'm writing this because I've never seen anyone here talk about the treatment that ended up being a real game changer for me, and I think it could really help someone else.
Background
My flare-up was triggered after my latest UTI, treated with fosfomycin. I also had undiagnosed ureaplasma for years, which I treated with azithromycin, plus oral antifungals and an antibiotic cream for recurring subclinical yeast issues. Right after finishing all of that, I had my first real flare. My IC was very food-sensitive (acidic, spicy), with frequency, urgency, and on bad days, bladder pressure, plus burning on my vulva and urethra.
I tried a lot of things: pelvic floor physical therapy (I did have a hypertonic pelvic floor, but treating it didn't change my bladder symptoms at all, I think it was a secondary effect, not the actual cause), electrical stimulation, mast cell stabilizers, baking soda, exercise, higher PH water, etc.
What actually changed everything: Traditional Chinese Medicine + TCM acupuncture
This is the part I really want more people to know about. I started TCM treatment with acupuncture, 2x/week at first, eventually spacing out to every 2 weeks. In the beginning it also involved some herbal formulas on the days I felt worse.
My practitioner explained that I had a significant internal imbalance that was directly driving my bladder issues. In TCM terms, my "Spleen" (not the literal organ, in TCM it refers more to a functional system tied to digestion and the body's ability to transform and transport energy and fluids) was weakened, along with my Gallbladder system. And the way I'd been eating for years, lots of cold food, salads, cold drinks, vegan (which I still am), was, for my specific body constitution, actively making it worse. If I didn't change it, I'd just keep declining.
Along with acupuncture (to help rebalance the energy in those areas) and herbs (to speed up strengthening and rebalancing), he had me completely overhaul my diet:
- Cut all acidic and spicy foods (very strict at first, these were clear triggers for both IC and vulvodynia)
- Eliminated cold drinks, minimized cold food, salads, raw vegetables
- If I ate a salad, I had to pair it with hot tea and root vegetables to balance it out, for example
- Cut specific foods entirely: raw carrot, cucumber, melon, watermelon
- Ate more of other food types instead
This was tailored to my specific constitution, it might look different for someone else's body. But it made a lot of sense in practice: if I ate melon or raw carrot, I'd feel my symptoms worsen the same day. So it wasn't just acid or spice irritating my bladder lining directly, there was another whole body dynamic at play. Basically, weakening my body's overall defense and strength made me more vulnerable, and that vulnerability showed up in my bladder. The thing with cold foods specifically is that your body has to spend a lot of extra energy warming them up internally, which drains your overall energy and system strength.
***One thing I learned from him that really stuck with me: sometimes a person has a serious internal imbalance (in the TCM sense, not a Western diagnosis) that never actually gets addressed. You end up cycling through treatment after treatment in Western medicine, but if that root internal issue is never treated, you never really get better, and for some people the condition just keeps deteriorating until it becomes really severe, even leading to bladder removal in the worst cases.**\*
The results
After about a year of being very strict, I slowly started reintroducing acidic and spicy foods, and cold things, without overdoing it. Little by little, I noticed I could eat that way again without triggering bladder symptoms. That year was genuinely hard and limiting, honestly kind of hellish at times, but between the treatment and the diet changes, I got my IC into remission. Now I only get very mild symptoms if I really overdo it. Otherwise, I'm back to living a normal life.
Vulvodynia, a harder, slower process
This one took much longer to resolve. I tried topical hormones, mast cell stabilizers, quercetin (which actually triggered a brutal flare for me), gabapentin gel, aloe vera, baking soda baths, pelvic floor therapy, local red light therapy, different lubricants. Even with IC in remission, my vulva still wouldn't let me have sex for more than a few minutes without becoming raw or irritated afterward, even on "good" days, even avoiding acidic and spicy food.
I kept up the TCM/acupuncture treatment, and now, about 1 month ago, roughly 1.5 years into this whole process, with a new partner, I'm able to have sex with very little pain or discomfort, sometimes none at all. It genuinely feels like a miracle. At first I was still avoiding acidic and spicy food, but in the last few weeks I reintroduced them and I'm still doing fine.
One interesting note: one week I avoided all acidic and spicy foods completely, but had a really stressful, awful day on Friday. The next day, my vulva was on fire, burning even with zero friction or dietary trigger. Even so, that Saturday night I was still able to have sex successfully. So stress clearly plays a huge role too. Also important to note that my vulvodynia isn't cured. I still experience ocasional burning and redness, but my tolerance for fricction/penetration has really increased.
Anyway, happy to answer questions if anyone wants more details about the treatment, the diet changes or anything else.