What are the Causes of Vaginal Pain and How Is It Treated?

Vaginal pain can cause the person to experience distress while relieving the need for toilet or during sexual intercourse. Although most women find it difficult to talk about it, unfortunately, no one can choose their ailments. Knowing about the reasons that may cause this can help decide whether to pay attention to these issues or go to a specialist.
In order to determine exactly where the discomfort is causing pain or pain, it is important to first distinguish the sore spots. According to experts, some women describe the bikini area as the vagina. However, they may actually be talking about severe cramps in the vulva, uterus, hernia, pelvic or abdominal area. If a person is not sure exactly where the discomfort is, keeping a pain diary so that your healthcare provider’s pain can be better characterized if symptoms persist. Especially if pain prevents daily activities, it is necessary to see a specialist as soon as possible. According to experts, common causes of vaginal pain include:

Yeast Infections

According to experts, the most common symptoms of yeast infections are mostly due to itching and burning in the vagina. But they can also be painful. Yeast can affect the inside of the vagina or directly outside of the vagina, causing swelling and redness. In addition, vaginal discharge may be experienced and this discharge is generally white, in the appearance of cottage cheese.

How is it treated?

While you can treat a yeast infection with OTC drugs, if a person has had this type of infection before, they may choose to use this drug. However, for those who experience this problem for the first time, it is best to seek professional advice. Usually, a gynecologist will perform a pelvic exam and prescribe an antifungal cream to be used until symptoms resolve. If previously used medications are used and have not disappeared within a week, a doctor should be seen.

Bacterial Vaginosis (BV)

Bacterial vaginosis can also cause itching and vaginal discomfort, but any discharge you may have will likely be more watery and will be accompanied by a fishy odor-like odor. This condition is caused by an overgrowth of bacteria in the vagina. Normally, keeping the pH of the vagina in balance, the good bacteria fill up, but when the good bacteria outnumber the bad bacteria, that’s when a case of BV happens. While you’re not sure exactly what triggers it, sex and menstruation can alter your vaginal pH.

How is it treated?

If you are susceptible to bacterial infections and you are experiencing a rapid antibiotic (usually a pill or cream) treatment it is necessary. Thus, it is possible to get rid of the symptoms seen.

Sexually Transmitted Infections

Any sexually transmitted infection (STI), such as cold sores, chlamydia, gonorrhea, can cause pain in the vagina. Herpes, which specifically affects one in six Americans, is typically related to nerve or inflammation, according to the Centers for Disease Control and Prevention. Herpes tends to have specific lesions and makes the vagina very sensitive to the touch.
Pain from other sexually transmitted diseases is typically caused by generalized inflammation. It tends to create more swelling of the vaginal tissue, which tends to be susceptible to burning and itching, as well as pain and discomfort. In both cases, it is necessary to see a specialist who will check if they are experiencing any pain and inflammation in the vaginal area to control the condition.

How is it treated?

STIs have a clear way to treat with antibiotics and a clear method of prevention. This is usually the use of condoms during intercourse. Chlamydia, gonorrhea, and other sexually transmitted diseases can typically clear up with medication, and although herpes cannot be cured, they can manage to reduce future outbreaks and pain.

Vaginal Dryness

Vaginal dryness is all about the estrogen hormone, especially due to the deficiency of this hormone. Estrogen itself is a growth hormone that improves blood flow to the vagina, the thickness of the vaginal wall, as well as the elasticity and lubrication of the vagina. And when the body does not produce enough estrogen due to the use of birth control drugs, breastfeeding or menopause, this can cause vaginal dryness and pain in the vagina.

How is it treated?

When the vagina is not slippery as before, it is necessary to consult a specialist. In this case, the birth control method may need to be changed while an up-to-date treatment plan is usually applied by the specialist to provide relief.

Sexual Relationship Positions

Pain in the vagina can be caused by the large sexual organ of the partner during sexual intercourse or from having sexual intercourse in tailored positions. While this appears to be a pain in the form of abdominal pain, it can be uncomfortable. If there is a problem with the penis size of the partner, the positions can be changed. In addition, a lubricating gel can be used before intercourse. In addition, the use of a piercing or condom applied in the vagina can also cause vaginal pain in those with allergic reactions such as latex.

How is it treated?

In the meeting with the family doctor or gynecologist, all causes should be excluded and solutions should be found on the cause that caused this. Changing the condom type or a lubricant gel recommendation may be among the solutions.


According to the American College of Obstetricians and Gynecologists (ACOG), Vulvodynia is chronic vaginal pain for no identifiable cause (i.e. not due to infection or other medical condition). Discomfort is likely to occur during penetration or insertion of a tampon into the vagina. Approximately 9 percent of women experience this kind of pain in their lives. However, for some women, pain pains are spontaneous and unrelated to sex or any touching of the area. The cause of vulvodynia is not fully understood, but doctors believe the pain comes from extra nerve fibers in that outer part of the vagina and vulva.

How is it treated?

Doctors diagnosing vulvodynia often treat it with topical medications such as lidocaine, which is also used for another unknown chronic pain condition, fibromyalgia.


What are the Causes of Vaginal Pain and How Is It Treated?Endometriosis is confusing and difficult for doctors to diagnose. Endometriosis is the growth of uterine tissue outside of the uterus (such as in other places such as the pelvic area, abdomen, and even the lungs). The situation is also incredibly painful. It creates chronic inflammation and scarring around tissues that can cause pain.

How is it treated?

Endometriosis is typically treated with hormone therapy or surgery to remove tissue that causes pain.

Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease; Infection of your uterus, fallopian tubes, or ovaries is another inflammatory condition that can cause pain in the vagina. It can cause scarring within the pelvic organs or the pelvic organs stick together, causing chronic discomfort and pain.

How is it treated?

After a pelvic exam and ultrasound to determine if the person is suffering from this condition (an STI can develop as a result of leaving it untreated). Once the definitive diagnosis has been made, the doctor will likely initiate a course of antibiotics to treat the person.

Vulvovajinal Atrofi

According to the Mayo Clinic, vulvovaginal atrophy is the thinning, drying, and inflammation of the vaginal walls that can occur when the body produces less estrogen. Therefore, while it is most common after menopause, the condition can disturb sexuality and urination.

How is it treated?

Once diagnosed by the obstetrician, the condition is typically treated with lubricant and hormone therapy.

Cervical Cancer

Pelvic pain (along with back pain, abnormal bleeding, brown discharge, fatigue, nausea, and weight loss) is a symptom of cervical cancer. If you are experiencing these symptoms and you have not had a pap smear last year, it may need to be done. A treatment plan is initiated according to the treatment of the tumor and the age of the person.


It may cause pain in the vagina in a previous trauma. If there is a history of child abuse, sexual assault or vaginal birth trauma, this should be explained to the specialist. All of these unclear factors can cause vaginal pain.

How is it treated?

If you have experienced sexual assault or surgery that resulted in a traumatic healing experience, plan the appropriate treatment may help in the treatment. Among these treatment methods, therapy, medication, and other treatment methods can be counted. It is important for both doctors and patients to remember that mental health is important.
Talking about vaginal pain can seem difficult and awkward. But talking to a healthcare provider is key to finding relief and ruling out any underlying conditions that require special treatment.


Writer: Ozlem Guvenc Agaoglu

Leave a Reply

Your email address will not be published. Required fields are marked *