Pain in the vagina or the female external genital organs (the vulva, which includes the labia, clitoris, and entrance to the vagina) most commonly is a result of infection. Vaginitis is another term for infection of the vagina. Yeast infection (Candida) is a particularly common form of vaginitis. Women are at increased risk for yeast vaginitis if they take antibiotics or cortisone medications, during pregnancy, and if their immune systems are suppressed by medications or disease. Vaginal pain can also be a result of injury or trauma to the vagina or vulva. Vaginal pain during sexual intercourse is referred to as dyspareunia. The medical term for vaginal pain is vulvodynia.
Depending on the cause of vaginal pain, it may be associated with
- vaginal bleeding,
- vaginal itching,
- burning,
- rawness,
- soreness,
- stinging, and/or
- throbbing.
Other causes of vaginal pain
- Bartholin's Abscesses
- Trauma Injury
QUESTION
The vagina includes the labia, clitoris, and uterus. See AnswerPictures, Images, Illustrations & Quizzes
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Causes of Vaginal Pain
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Allergy (Allergies)
An allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. When these allergens come in contact with the body, it causes the immune system to develop an allergic reaction in people who are allergic to it. It is estimated that 50 million North Americans are affected by allergic conditions. The parts of the body that are prone to react to allergies include the eyes, nose, lungs, skin, and stomach. Common allergic disorders include hay fever, asthma, allergic eyes, allergic eczema, hives, and allergic shock.
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Bacterial Vaginosis (BV)
Bacterial vaginosis is an abnormal vaginal condition with signs and symptoms of vaginal discharge, vaginal odor, and vaginal pain. It results from an overgrowth of normal bacteria in the vagina.
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Can Bacterial Vaginosis Clear Up on Its Own?
Learn what medical treatments can ease your bacterial vaginosis symptoms and help you manage this condition.
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Can Vaginismus Be Cured?
Learn what medical treatments can help ease your vaginismus symptoms and speed up your recovery from vaginismus.
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Chlamydia
Chlamydia is the most common sexually transmitted disease in the U.S. Signs and symptoms of chlamydia, a bacterial infection, include vaginal discharge, abdominal pain, burning with urination, blood in the urine, and feelings of urinary urgency and frequency. Untreated chlamydia can cause pelvic inflammatory disease (PID), increased risk of ectopic pregnancy, and infertility. Chlamydia is diagnosed with a culture or by identification of the genetic material of the bacteria. Treatment of chlamydia consists of a course of antibiotics.
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Genital Warts (HPV) Infection in Women
Genital warts is a sexually transmitted infection (STI) caused by the human papillomavirus (HPV). Warts look like raised, flesh-colored lumps. Learn about symptoms, transmission, and treatment.
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How Can I Treat Vaginitis at Home?
What Is Vaginitis? Learn whether you need antibiotics and what other treatments can help to relieve your symptoms.
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How Do You Treat a Bartholin Cyst After Drainage?
Conservative home remedies may be used to treat Bartholin cysts, but most cases are treated surgically because they can recur, worsen or become infected. Early, asymptomatic Bartholin cysts usually do not require any treatment. The treatment depends on the size of the cyst, the discomfort level of the patient and whether or not the cyst is infected.
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How Many Days Before a Period Do You Get Discharge?
Vaginal discharge is a normal part of a woman's menstrual cycle. Learn about vaginal discharge before a period, how many days you get discharge before your period, signs and causes of vaginal discharge, and when to see a doctor if there's a problem. Vaginal discharge is the fluid secreted from the uterus, cervix (neck of the uterus) and vagina. A thick yellow vaginal discharge may point to vaginitis (infection of the vagina).
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Is a Yeast Infection Contagious?
Yeast is a fungus that has many types. A type of yeast that can cause infection in humans is called Candida. Candida can infect the mouth, vagina, penis, or other areas of the body. Symptoms of yeast infections depend on the area infected, however, may include itching, bumps on the skin, a reddish rash, or patches of skin that ooze a clear or yellow liquid. Most yeast infections are not contagious even though they are caused by a fungus.
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Is It Normal to Have Discharge After Sex?
What is vaginal discharge? Learn the signs of vaginal discharge and what to do if you experience it.
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Lichen Planus
Lichen planus is a common skin disease that features small, itchy pink or purple spots on the arms or legs. The abnormal areas on the skin in lichen planus are typically flat-topped (hence the term planus), itchy, and frequently have a polygonal or angular shape.
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Menopause
Menopause is the time in a woman's life when menstrual periods permanently stop, also called the "change of life." Menopause symptoms and signs include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies and should be discussed with your physician.
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Perimenopause
Perimenopause is the time in a woman's life when she is approaching menopause. During this time a woman starts to develop symptoms of declining estrogen levels that may include mood swings, painful sex, night sweats, hot flashes, and weight gain. Every adult woman eventually will experience perimenopause.
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Sexually Transmitted Diseases (STDs)
Common sexually transmitted diseases (STDs) in women include gonorrhea, chlamydia, genital herpes, and HPV infection (genital warts). Learn about types, symptoms, and treatment.
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Sexually Transmitted Diseases and Pregnancy (STDs)
When you are pregnant, many sexually transmitted diseases (STDs) can be especially harmful to you and your baby. These STDs include herpes, HIV/AIDS, genital warts (HPV), hepatitis B, chlamydia, syphilis, gonorrhea, and trichomoniasis. Symptoms include bumps, sores, warts, swelling, itching, or redness in the genital region. Treatment of STDs while pregnant depends on how far along you are in the pregnancy and the progression of the infection.
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Sjogren's Syndrome
Sjögren's syndrome is an autoimmune disease involving the abnormal production of extra antibodies that attack the glands and connective tissue. It is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma, which is referred to as secondary Sjögren's syndrome. Though there is no cure for Sjögren's syndrome, the symptoms may be treated by using lubricating eye ointments, drinking plenty of water, humidifying the air, and using glycerin swabs. Medications are also available to treat dry eye and dry mouth.
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Urinary Tract Infections in Children
Urinary tract infections (UTIs) are very common in children. Symptoms and signs include fever and abdominal pain. Associated symptoms and signs include flank pain, vomiting, and blood in the urine. Treatment for a UTI involves antibiotic therapy.
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Vaginal Dryness and Vaginal Atrophy
Vaginal dryness and vaginal atrophy occurs in women during perimenopause, menopause, and postmenopause. With vaginal atrophy, the lining of the vaginal wall becomes thinner, drier, less elastic, and light pink to bluish in color. Symptoms of vaginal atrophy include vaginal dryness, itching, irritation, and/or pain during intercourse. Treatment options for vaginal dryness and vaginal atrophy include hormone treatment and over-the-counter vaginal lubricating and moisturizing products.
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Vaginal Pain (Vulvodynia)
Vulvodynia or vaginal pain, genital pain is a condition in which women have chronic vulvar pain with no known cause. There are two types of vulvodynia, generalized vulvodynia, and vulvar vestibulitis. Researchers are trying to find the causes of vulvodynia, for example, nerve irritation, genetic factors, hypersensitivity to yeast infections, muscle spasms, and hormonal changes. The most common symptoms of vaginal pain (vulvodynia) are burning, rawness, itching, stinging, aching, soreness, and throbbing. There are a variety of treatments that can ease the symptoms of vulvodynia (vaginal pain).
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Vaginal Yeast Infection
Vaginal yeast infections in women are caused by an organism called Candida albicans. Symptoms of a vaginal yeast infection include vaginal pain with urination, vaginal discharge, odor, and itching. Treatment is generally OTC medications. A man can contract a yeast infection from his female sexual partner. Symptoms of a yeast infection in men include penile itching. Treatment is with oral or topical medication.
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Vaginitis (Inflammation of the Vagina)
Vaginitis refers to inflammation of the vagina. Vaginitis can be caused by infections, menopause, or poor hygiene. Symptoms of vaginitis include vaginal itching, discharge, odor, pain, or discomfort. Treatment for vaginitis depends on the cause. Antibiotics may be necessary for some forms of vaginitis.
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What Are the Signs of Atrophic Vaginitis?
Atrophic vaginitis is a medical condition where the walls of the vagina become thinner, dryer, and inflamed. Learn more about atrophic vaginitis, its symptoms, and potential treatments for atrophic vaginitis.
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What Causes Vault Prolapse?
Over one-third of the women in the United States have experienced some form of pelvic prolapse in their lives. Vault prolapse can occur whenever the supporting structures in the pelvis become weak, torn or stretched. The causes include childbirth, surgery, obesity, long-term constipation, long-term cough and other conditions.
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What Exercises Can Help Vaginismus?
Learn what exercises and medical treatments can help ease your vaginismus symptoms and speed up your recovery.
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What Is Genital Herpes in Women?
Genital herpes is a sexually transmitted disease (STD) caused by the herpes simplex virus (HSV). Symptoms of genital herpes include painful blisters and often fever, body aches, and swollen lymph nodes for the first outbreak. Genital herpes is diagnosed with lab tests to test for the presence of the virus. Treatment for genital herpes includes antiviral medications to shorten the duration of the outbreak or reduce the risk of future outbreaks. There is no cure for genital herpes. Condoms may help prevent the spread of genital herpes.
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Yeast Infection vs. Bacterial Vaginosis (BV)
Yeast infections and bacterial vaginosis (BV) both cause vaginal discharge. Yeast infection discharge is thick, white, and had a cottage cheese consistency. BV discharge is whitish-gray and is thinner. Vaginal odor, irritation, and pain may also be present. Treatment of yeast infections includes over-the-counter and prescription antifungals. BV treatment involves antibiotics.
Examples of Medications for Vaginal Pain
- conjugated equine estrogens and medroxyprogesterone acetate, Prempro, Premphase
- esterified estrogens (Menest)
- esterified estrogens and methyltestosterone, Estratest, Estratest HS
- estradiol, Alora, Climara, Delestrogen, Depo-Estradiol, Divigel, Elestrin, Estrace, and Others
- estrogens conjugated (Premarin)
- estrogens conjugated synthetic (Cenestin)
- estropipate, Ogen
- flibanserin (Addyi)
- Metrogel (metronidazole) Side Effects, Warnings, and Interactions
- OTC Pain Relievers and Fever Reducers
- Side Effects of Terazol (terconazole)
- Solosec (secnidazole)
- terconazole (Terazol, Zazole)
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