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A vaginal pain is a uncomfortable pain in the Genital area, which is mainly in the vaginal entrance (Introit) expresses. It can also affect neighboring regions of the genital area, such as the labia minora and the vulva, overlap.

The pain can different intensities and qualities to have. Depending on the underlying cause, vaginal pain is either as stabbing or dull Feeling noticeable. Some vaginal pain only manifests itself with mechanical stress - especially during vaginal intercourse - whereas other causes can lead to permanent pain, even at rest.

The vaginal pain is not an independent disease, but rather a cessation possible symptom of various diseases represent.

Read more on the topic:Pain at the entrance to the vagina

Causes of vaginal pain

Vaginal pain is not only subjectively very stressful for those affected, but mostly also Part of a serious illness.

Should vaginal pain occur, they are promptly through a Examination at the gynecologist to be clarified, as there are very different causes for the pain. A common cause of vaginal pain is Vaginal fungus.

Every woman suffers from one at some point in her life unpleasant vaginal thrush.

This is usually expressed through itching and crumbly discharge. However, the longer a vaginal thrush is not treated properly, or not at all, the sooner the itching turns into a dominant vaginal pain.

This one has one burning character and is mainly through mechanical stress in the form of sexual intercourse reinforced.
You can find detailed information on this topic at: Burning sensation during or after intercourse

Also a bacterial infection that bacterial vaginosis, can to burning pain to lead. These are particularly evident in the Sexual intercourse (Dyspareunia). One is still typical itching, Painful urination, a fishy odor of the vagina and a thin yellowish discharge.

Another cause of vaginal pain is the Endometriosisin this disease is found Uterine lining (Endometrium) outside the uterus in other parts of the body. About 2-10% of all women suffer from endometriosis.

In the vagina, the misplaced tissue mainly leads to Painful intercoursethat make this virtually impossible. The pain is often cycle-dependent (during the period) and can be accompanied by other symptoms such as Spotting.

Vaginal pain, which occurs mainly during sexual intercourse or the insertion of a tampon, is also often caused by a so-called Vaginismus caused. This is a involuntary cramping of the vaginal muscles.

In rare Cases hide behind vaginal pain malignant tumor diseases. These can lead to accompanying symptoms, such as Fever, night sweats, and unwanted weight loss to lead. The tumor can also be palpable or look like a non-healing wound.

Older women in particular should consult a doctor quickly if they experience such symptoms Vaginal cancerheaped at older women occurs.

A common cause of vaginal pain in women of childbearing age is that natural birth. One is just as common excessive vaginal hygiene the cause of vaginal pain. Right now a lot alkaline washing lotions and Shower gels destroy the vaginal flora and can lead to pain. Injuries to the vagina also lead to pain. Most of the time these are expressed in the Inserting a tampon or at vaginal intercourse.

Finally there is the so-called Senile colpitis or Estrogen deficiency colpitis to be named as the cause of vaginal pain. In the menopause it comes to the falling estrogen level severe itching, bloody discharge and one Vaginal drynessassociated with vaginal pain.      

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Inflammation in the vagina

A Inflammation of the vagina is called in medical terminology as Vaginitis. This inflammation usually has one infectious cause, such as a bacterial infection or one Vaginal fungus. Frequent is not only the vagina, but also the vulva affected by the inflammation. In this case one speaks of one Vulvovaginitis.

A common symptom of vaginal inflammation is the Vaginal pain. This is mainly increased by mechanical loads. Also a Burning sensation when urinating and itching are typical accompanying symptoms inflammation.

Depending on the cause, a unpleasant smell occur in the vagina. Bacterial inflammation is often characterized by one unpleasant and fishy smell out. However, not only does it cause infections in the vagina, but also the inflammation Menopause.

A so-called Senile colpitis, or estrogen deficiency colpitis, affects menopausal women and is caused by the falling estrogen levels caused. This acute inflammation of the vagina manifests itself as severe itching, bloody discharge and Painful intercourse. The senile colpitis is with vaginal estrogen creams treated.           

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Vaginal fungus

The vaginal fungus is probably that most common infection of the female genitals.

The unpleasant fungus leads to severe itching and one crumbly, whitish discharge. The fungal infection is accompanied by one foul smelling odor and pain in the vagina.

Especially the one Sexual intercourse or that Inserting a tampon pain very much. Furthermore, this can also be Urination be painful. The pain has one more burning Character and usually only appears after a long time if the fungus is not treated or only insufficiently treated.

There are several ways to treat vaginal thrush vaginal creams and Vaginal suppositories with the active ingredient Clotrimazole or Miconazole. Persistent infections can also be treated with Tabletswho have the active ingredients Fluconazole or Itraconazole included, be necessary.           

Read more on the topic: Vaginal fungus,What drugs are there for vaginal thrush?

Diagnosing vaginal pain

Women with vaginal pain shouldn't drag the symptoms around with them for a long time, but rather timely their Gynecologist to seek out.

He will conduct various examinations to determine the cause. The Type of pain, Concomitant symptoms and the Age of those affected usually narrow down the probable causes.

This is followed by a vaginal examination in which you can get the vaginal mucosa inspected and after changes how Discharge, bleeding and ulcers looks.

A unpleasant smell can be indicative of a infection be.

Trade-offs help one Pathogen ascertain. Also a vaginal ultrasound can be suspected of additional Inflammation of the uterus or Ovaries or one Endometriosis be performed.

If a malignant tumor disease is suspected Samples from the suspicious tissue in the vagina (Biopsy) taken and examined more closely under the microscope.                                                        

Concomitant symptoms

Vaginal pain is a symptom that in the context of various diseases can occur.

Can accompany vaginal pain other symptoms be present that are characteristic of the respective cause. Frequent accompanying symptoms of vaginal pain are vaginal discharge or a unpleasant smell of the discharge.

These accompanying symptoms are important for Infectious diseases the vagina. The discharge can look different depending on the pathogen. A crumbly whitish / yellowish discharge is typical for a Fungal infection.

Greenish discharge however, is often found in one infection With Trichomonads.

A bacterial vaginosis can also be accompanied by fever, a general Exhaustion and additional Abdominal pain.

Another common symptom of vaginal pain is that vaginal itching. This occurs with diseases like Vaginal fungus, Endometriosis or one Vaginal dryness on.

Accompanying Spotting can also be the expression of various causes. Not just vaginal injuries, but too Tumor diseases, Vaginal dryness, Endometriosis and Infections can to Spotting or one bloody serous discharge to lead. The accompanying symptoms of vaginal pain are diverse and individually very different depending on the underlying cause.

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Treatment of vaginal pain

It is not usefulhaving a vaginal pain isolated with Painkillers to treat.

These are usually not effective and targeted at the vagina does not eliminate the cause of the pain.

In order for vaginal pain to be treated successfully, the Cause of pain be treated.

The treatments are just as varied as the causes. Bacterial vaginal infections are associated with Antibiotics and Fungal infections treated with fungicidal agents. A vaginal dryness during menopause, on the other hand, is associated with vaginal estrogen creams or Estrogen tablets treated.

A Endometriosis can be treated both medically and surgically. Easily accessible endometrial foci of the vagina are in a surgery away. Should vaginal pain be due to a Tumor the scabbard are in place, both are available surgical Therapy options as well Chemotherapy to disposal.

Painful tears in the perineumthat arise during childbirth are sewn and given pain reliever medication. In the case of higher-grade cracks, the preventive dose is given Antibioticsto avoid infection.

For vaginal pain due to a Vaginismus different treatment options are available. One possible measure is to use Lubricants during sexual intercourse.

This will make the Reduced friction on cramped muscles. However, it should continue to be the cause of vaginismus, for example Anxiety or stress, be treated. Psychotherapeutic discussions are particularly useful in these cases.

Duration of vaginal pain

The duration of vaginal pain depends on the underlying cause. A Vaginal fungus is mostly a acute happeningthat yourself within a few days developed. With effective anti-fungal therapy, the symptoms also improve within a few days.

In the case of endometriosis, however, they exist cycle-dependent pain usually over several years or decades, since it is a chronic inflammatory disease acts.

A bacterial vaginosis can also several weeks or even Months last for. But this often also happens subclinical. This means that she has no symptoms or only very mild symptoms.

A Vaginismus also exists over a longer period of time. Many women suffer because of it for years having pain during intercourse or inserting a tampon. After giving birth should vaginal pain subside within a few weeks.             

Pain at the entrance to the vagina

A vaginal pain, which mainly affects the Vaginal entrance limited, usually has one local cause.

A Fungal infection is probably the most common cause of such pain, but also one Endometriosis can cause pain at the entrance to the vagina.

Bacterial infections however, tend to lead to vaginal pain that the entire vagina concerns and not just the vaginal entrance.

Also a Vaginismus primarily causes pain in the Vaginal entrance. This occurs especially with Sexual intercourse and is usually so strong that full penetration is not possible.

Other possible causes of pain at the vaginal entrance are Injuries, which usually arise during sexual intercourse, and one excessive intimate hygiene.   

Read more on the topic:Symptoms of vaginal thrush

Vaginal pain during pregnancy

In the pregnancy some women suffer from more or less severe conditions Vaginal pain.

Some women describe the pain as a kind of "ripping“Pain, like one Overstretching. Mostly a pain is hidden behind it, that of the Loosening of the ligaments of the pelvis. The pain can occur at the beginning or towards the end of pregnancy and unfortunately cannot be treated well with pain relievers. Help many women warm water or physical protection against the pain.

The pain is mostly through physical strain reinforced. They usually are not permanent available. However, if you experience pain in the vagina during pregnancy, you should get one as soon as possible Gynecologist seek out other causes, like Infections, to exclude.

A Infection of the vagina can, if left untreated, rising up and the uterus or Ovaries infested. Such an infection is very dangerous during pregnancy and must therefore be prevented at an early stage.

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Vaginal pain after childbirth

The vaginal birth represents a natural, but also enormous burden for the pelvic floor, the vaginal muscles and the Tape apparatus of the pelvis.

During childbirth there are more or less pronounced symptoms in almost every woman Cracks in the vagina. Small cracks do not cause discomfort, however larger cracks can lead to mild pain after childbirth.

In the first few weeks after the birth, the body adapts again to the circumstances outside of pregnancy. During this time, slight pain in the vagina is normal. Bigger loadsThings like lifting heavy boxes, exercising, and chores should be done first fail become.

Pelvic floor exercises however, that can help Pain to minimize. Special gymnastics groups for postnatal postnatal exercises are very useful if you are in pain. If the pain is very severe, does not improve, or is accompanied by fever and a foul-smelling discharge, it can also be infection behind it. Such an infection needs to be treated with bed rest and antibiotics.

Pain between vagina and anus

A pain that is especially between Scabbard and nach localized can have various causes.

A common cause is a Perineal tear under childbirth. The dam is called the Area between anus and vagina. Perineal tears are especially painful if they are very large or heal poorly. Also Infections of the woundeasily accessible through the Proximity to bowel movements can result in severe pain in this area.

In order to counteract this, preventive measures are often used for higher-grade injuries Antibiotics and light laxatives (Laxatives). The latter lead to the chair being softened a little so that the area is not additionally mechanically stressed.

Also hemorrhoids can cause pain in the area between the vagina and anus. However, this is very rarely the case.

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Vaginal pain when urinating

A vaginal pain, which is when Urination intensified or occurs specifically when urinating is usually due to a infection or one Endometriosis traced back. Both can be both too Vaginal pain as well as Painful urination to lead. For an infection there is still a changed discharge or fever typical. Endometriosis, on the other hand, is often characterized burning pain during intercourse out.    

Menopausal vaginal pain

Find in menopause hormonal changes of the female body, which can lead to various menopausal symptoms. One possible phenomenon of menopause is the so-called Estrogen deficiency colpitis.

Through the falling estrogen levels in menopause there is one acute inflammation of the vaginal liningwhich with vaginal dryness and itching goes hand in hand.

It also gives rise to vaginal pain, mainly during sexual intercourse occur increasingly.

The mucous membrane is made with less nutrients supplied, which makes them regresses and atrophic becomes. She is through it more vulnerable against infections. One is also typical bloody-serous discharge out of the vagina.

Available for treatment of this estrogen deficiency copitis local estrogen creams to disposal. An important differential diagnosis is one malignant cancer the vagina. This Vaginal cancer occurs mainly in old age and is very rare. If the pain persists, a malignant cause however locked out become.

Vaginal dryness

Vaginal dryness caused mainly during vaginal intercourse burning pain. These can be so strong that sexual intercourse impossible can be.

Many women suffer in the Menopause under a vaginal dryness, but also younger women can be affected due to various causes.

Are common psychological causes, how stress and fears, responsible for vaginal dryness, but also internal diseases such as diabetes, rheumatic diseases or Endometriosis, can be the causes. Excessive intimate hygiene is also not a rare cause of vaginal dryness in connection with vaginal pain. The annoying complaints can be treated with various measures.

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Quality assurance by: Dr. Nicolas Gumpert | Last change: 11.05.2021