Pain in the genital area during menstruation

During menstruation, many female friends will feel pain in their genitals, which is caused by inflammation. Therefore, it is necessary to find corresponding treatment measures according to the different causes of inflammation. This will prevent the patient from having any sequelae. Try to avoid using drugs such as antibiotics, which will cause many complications to the patient.

1. Vestibulitis

Vulvar pain is characterized by pain after compression of the vestibule area. There is often a history of irritating pain, such as superficial dyspareunia, tampon intolerance, pain during gynecological examinations, or pain when wearing tight clothes or riding a bicycle, with a history of months to years. Patients are usually premenopausal women. The pain may occur during first sexual intercourse or after normal sexual activity, and often occurs acutely under the influence of some stimulating factors (such as surgery, childbirth, infection). There are varying degrees of erythema in the vestibular area, and light touch can cause acute pain; sensory hypersensitivity is located in the entire vestibular area, or is limited to the opening of the Bartholin's glands or the frenulum of the labia, and the tenderness is generally most obvious near the opening of the Bartholin's glands. About 30% of cases resolve spontaneously

1. Causes of disease

Vulvar pain is a group of heterogeneous diseases, and the etiology may be multifactorial. There are many studies on vulvar vestibulitis, while there are fewer reports on cyclic vulvitis and paresthesia vulvar pain.

1. Candida infection

A history of vulvovaginal candidiasis is the only most consistent feature in patients with vestibulitis, but inappropriate and repeated use of topical antifungal drugs can also cause these symptoms. Furthermore, the Candida colonization rate was not higher in patients with vestibulitis than in controls. The etiology of cyclic vulvitis is unknown, but Candida albicans may be a potential cause and anticandidal therapy is usually effective.

3. Patients with iatrogenic vulvar pain often have used vulvar pain multiple times.

Try to educate patients on what is known about vulvar pain. Patients need to understand that their problems are not sexually transmitted, are not a sign of malignancy, or are caused by their own fault; they also need to understand that the irritation is not a chronic, recurring, stubborn fungal infection and that, although symptoms cannot be quickly controlled, it is still possible to treat and achieve satisfactory sexual intercourse.