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Symptoms of disease - pain in the vagina

Pain in the vagina is one of the most insidious and dangerous threats to women's health, as its cause sometimes define it can be extremely difficult.

In addition, pain in the vagina are of quite a different character:
- can be combined with discharge, and itching. Then the cause of their most likely is the urogenital infection;
- can occur during and after sexual intercourse;
- someone occur when menopause, and someone, on the contrary, in hemorrhages;
- You may think that hurts the vagina, and the source of the pain actually is in the rectum;
"the pain can also be psychological reasons.

But in any case this pain you cannot bear or stop the medication, otherwise it can lead to irreversible changes in the female body. Only thorough medical examination to detect the causes of pain in the vagina.

What is vulvovaginal pain?
In the definition of vulvovaginal Vulvar pain (Pain) includes several concepts:
- Vulvodynia - a separate disease, characterized by unexplained vulvovaginal pain
- Pain in the area of the vestibule of the vagina and the outside of the vagina sexual intercourse with vulvovaginitah, injuries, skin diseases and neoplasms in the area of the vulva and vagina.
- Vaginismus is a painful contraction of muscles of the vagina and the vagina when you try to introduction of the penis, finger or vaginal swab. Vaginismus is not associated with pathological changes of the genitals of the woman and is conditional reflex nature. - Dyspareunia (dyspareunia) - pain in the vulva and vagina before, during and after intercourse. In fact dyspareunia is just a symptom of many diseases, including vulvodynia and vaginismus.

Pain in vagina during sex is a serious problem in many cases. She may indicate the presence of gynaecological diseases, or have a psychological basis. Regardless of the cause pain leads to the fact that a person has no desire to have sex, what is the reason for quarrels and insults, and sometimes leads to the disintegration of relationships.

Pain in the vagina may occur during lovemaking or sexual intercourse and is usually described as "burning", "cutting". This problem is more characteristic for women than for men. There are two types of pain in the vagina in women: shallow, deep and postpartum. Surface - pain during intercourse, which arises in the area of external internal genital lips and the entrance to the vagina.

In some women, the pain in the vagina is so strong that gives unpleasant sensations during gynaecological examination, the introduction and retrieve the swab, riding a bike and a seat on a hard surface. Sometimes, feeling a painful place a moist cotton swab, gynaecologist can cause pain the same intensity that appears during sexual intercourse.

With deep pain in the vagina, the woman feels pain during sexual intercourse or after him, emerging into the depth of the vagina, the bottom of the abdomen, often radiating to rump, in the groin, in the rectum. This pain is often described as the "burning", "stupid", "pressing". Many of the sick women describe it as a painful "the emergence of obstacles" in the depth of the vagina with the introduction of the penis, finger and vaginal swabs. However, the surface of pain in the vagina occur more often. Sometimes this pain may experience and men.

Causes of postpartum pain in the vagina are unknown. Most often occurs in primiparous women, and in women, breast-feeding. The average duration of postpartum pain in the vagina is on the data of different authors, from 3 months to a year, at an average rate of 5.5 months.



Which diseases there is pain in the vagina

Causes of pain in the vagina:

1. Venereal diseases
Pain at the entrance of the vagina may be caused by local urogenital infections (mycoplasmas, ureaplasma, candida, gardnerellas, chlamydia, viruses sexual herpes, etc.), which cause inflammation of mucous membrane of the vulva, vagina and cervix, as well as the body of the uterus and its appendages. In the presence of inflammatory process in the genital tissues of this area is easily injured, the slightest friction causes pain in the vagina and discomfort. Manifestations of inflammatory process in the genital area are: burning, itching in the area of the vulva and vagina, abundant mucus or mucous-purulent discharge from the genital tract, sometimes with an unpleasant smell.

To eliminate this reason it is necessary to conduct a survey on the availability of urogenital infections (a swab from the vaginal flora, PCR-diagnostics of bacterial crops from the vagina and cervical canal). On results of the survey are normally assigned by the general and local antibacterial and anti-inflammatory therapy: toilet genitals with antiseptic solutions; vaginal candles with anti-inflammatory effect. In the absence of breastfeeding are appointed by the courses of antibacterial therapy taking into account susceptibility to antibacterial drugs. If the woman is breastfeeding, the possible appointment of the course of antibacterial therapy for up to 7 days. During the reception of antibiotics recommended a break for breastfeeding. In this case the woman expressing formed in her milk, as a child temporarily transferred to the feeding of the adapted dairy mixes. However, the most often during breastfeeding is appointed by the treatment of the local (vaginal candles, pills). The antibacterial therapy is carried out after the end of breast-feeding.

More serious treatment with interruption of breastfeeding should be, if the inflammation of the vagina caused by micro-organisms that without a serious antibacterial treatment can lead to the spread of the infection, the development of complications. To these microorganisms can be attributed gonococcus, vaginalis, chlamydia, etc.

2. Inflammatory diseases of the
In some cases, the pain in the vagina concern not the woman during sexual intercourse, and after him. In such cases, sexual intercourse, as a rule, is not accompanied by the emergence of an orgasm. The reason for these pains is the stagnation of blood in the small pelvis, generally accompanying chronic inflammatory processes in the genital organs. After the birth may develop a complication, as endometritis - inflammation of the uterine cavity, at least - salpingo-oophoritis - inflammation of the uterine appendages. It is connected with decreasing immunity after delivery, increased physical and nervous and mental load on the body of a woman, the change in the anatomy of the pelvic organs, the formation of the wound surface in the uterine cavity after the separation of the young.

3. Trauma and surgical intervention
The cause of pain at the entrance of the vagina can be a trauma of the vagina, perineum, as well as surgical interventions on the external genital organs in the time of birth. On the muscles of the vagina and perineum during labor have especially high load. They take part in the formation of the birth canal, which is a fruit. Quite often there are tears of cervix, vagina, perineum. Often during childbirth occurs alarming gap perineum, which is an indication for sections of the perineum.
At the subsequent imposition of seams in the damaged areas is not always possible to completely restore the anatomical integrity of the genital organs, is often scarring of tissues, there are inflammatory processes in the area of postoperative seams. All this leads to disorders of the blood supply and innervation of the genital organs and, consequently, the emergence of pain in the vagina during sexual contact.
To strengthen the pelvic floor muscles and improve blood circulation in them are recommended special exercises. While in the position of lying down or sitting woman quickly reduces the muscles of the vagina for 1-2 seconds, then relax. It is recommended to do by 25-30 reductions 3-4 times a day. Unpleasant sensations can be stored in the rumen to several months. As a rule, if a good result healing (without infection, the formation of rough scar tissue) the uncomfortable sensations are themselves. Gymnastics, use of various cosmetic absorbable funds may be slightly accelerate rehabilitation. If the incision site (gap) formed a rough scar as a result of infection, inflammation, then at the end of the period of lactation or not earlier than 6 months after delivery, you can consult regarding the surgical treatment - excision of the scar tissue.
Rupture of ligaments. Sometimes the pain with the introduction of the penis into the vagina is felt in the lower abdomen. This phenomenon is often observed, if in childbirth ruptured ligaments that support the uterus. The sacro-uterine ligaments are the main machine, fixing the uterus in the small pelvis. During pregnancy is often the weakening of ligaments of the uterus, and in the process of childbirth, this is possible complication, as the gap sacrococcygeal uterine ligaments. At that in the future there is a restriction of mobility of the cervix, which causes the development of pain during sexual intercourse. For the treatment of such complications are appointed by drugs, physiotherapy (electrophoresis on the area of the uterus and appendages, laser therapy, magnetotherapy), with resolving action aimed at adhesions - the fibres of the connective tissue, enveloping the tissues and organs of the small pelvis. Adhesions may be the cause of pain. Physiotherapy helps to reduce the severity of adhesive process in small pelvis organs, increase the mobility of the body and the cervix, and that leads to the disappearance or reduction of pain syndrome.

4. Insufficient lubrication of the vagina
- Climacteric period.
- Hormonal changes. Pain in the vagina during sexual contact most often is observed by hormone changes after childbirth: insufficient production of female sex hormones - estrogen on the background of breastfeeding. Data hormonal features lead to dystrophic changes or lack of lubrication (development of lubrication) vaginal mucosa. The cavity of the vagina if this is not extended and is not expanding in response to the excitement, so during intercourse arise unpleasant sensations. To resolve this problem, it is recommended to use during sexual intercourse humidifying gels for intimate purposes (lubricants), which removes dryness in the vagina. After cessation of breastfeeding similar symptoms, as a rule, are themselves.

5. Psychological causes can also take place. Because many women may not feel relaxed, in the vagina is not allocated enough lubrication and friction of the penis causes irritation. Because of expectation of the pain of the muscles of the vagina is strongly strained, a woman finds herself in a vicious circle of fear and pain, which leads to tension, the tension causes additional pain and reduces the degree of excitement that leads to vaginal dryness, and this in turn leads to even greater irritation, etc.
Another reason may be negative thoughts and feelings about sex and sexuality, as well as a negative sexual experience and disrespectful attitude partner.
Serious cause of pain is also vaginismus - tension of the muscles of the vagina, which leads to painful sensations during the sexual intercourse. Vaginismus may have psychological and physiological reasons.

The root cause of pain in the vagina reveal quite difficult, but if this fails, the treatment is directed, first of all, to its removal. In some cases, the need consultations of related specialists - urologist, proctologist, neurologist, endocrinologist, etc. This helps in identifying the true cause of pain in the vagina and choosing the most effective method in each individual case treatment.



Which doctor should I contact if there is a pain in the vagina

  • Gynaecologist
  • Psychiatrist
  • Sexologist


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Do you feel vagina hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.