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Pain, itching, burning and dryness of the vulvo-vaginal area can have numerous causes. Let's take a look. 

Sexually Transmitted Diseases

Twenty-five percent of Americans have at least one STD. Any type of STD that causes excessive vaginal discharge or rashes may cause vaginal and vulval pain. Genital herpes is known for pain. with rash being a late manifestation. STD testing is often the first course of action if you have pain around your vulva or vagina.

Vaginal  Dryness

A dry vagina means it lacks lubrication. It can occur if there is a lack of vaginal secretions which normally keeps the vagina lubricated, usually a side effect of the perimenopause or being on a low-dose birth control pill. Many women report difficulty having sex along with vaginal dryness. You need the hormone estrogen . Either start a pill with a higher estrogen content or start an estrogen cream or patch if you are in the perimenopauasal age group.

Difficult Sex 

Intercourse with a new partner (even in the absence of STD transmission) or intercourse in new positions may cause vulval and vaginal pain. The answer may lie in taking it easy and not being too rough, and in making use of one of the many vaginal lubricants on the market.

Pelvic Infection

Pelvic infections may manifest as vulval pain. You may have lower abdominal pain, discharge, and even occasional fever along with abdominal pain if you have a pelvic infection. Have a checkup if you have those symptoms along with vulval pain. You need a clinical examination and an ultrasound of the lower abdomen to rule out any pelvic infection.


This can occur as a possibility if your vulval pain is linked to your cycle. Do you have painful cycle as well as? You need an ultrasound and a laparoscopic view of your internal organs. Some form of hormonal treatment will lessen your pain.


Do you have the vulval pain only during sex and while inserting a tampon? You are probably suffering from vulvodynia, which is often has a psychological component. The symptoms of vulvodynia include:

  • A burning or stinging pain in the vulva or vagina. Your pain also could be of the throbbing or aching type.
  • The pain you are experiencing is associated with sex or touching the vulva.
  • There may be vaginal itching associated with pain.

You need a detailed examination of the genital organs performed by your gynecologist. Lots of treatment is available for vulvodynia. Local anesthetic cream is one of them that is commonly advised if you are suffering from vulvodynia.

The bottom line? Your vulval pain should be cured within a few days if it is due to some type of infection or dryness and treated properly. But vulval pain can often be of the nagging type, coming and going over a period of time. Other possibilities like endometriosis or vulvodynia need to be ruled out in those circumstances. Therefore, don't suffer in silence and make an appointment with your gynecologist. 

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