What's the matter with the pain down there?

Women are always troubled by some vaginal diseases, especially after marriage, various gynecological diseases will come, which is more or less related to sexual life. Some women always feel vulvar itching, and some women always feel genital pain in their daily lives, which are all related to diseases. So, why do women often feel pain down there?

Chronic vulvar discomfort characterized by vulvar burning, stinging, tenderness or irritation is collectively referred to as vulvar pain, including vulvar pain caused by vulvar vestibulitis, cyclic vulvitis, etc.

Vulvar pain may be multifactorial, such as fungal infection and improper use of medication, psychological factors, genetic factors, dietary factors, etc. The influence of sex hormones, abnormal pelvic floor muscle tone, etc. may be related to it.

Clinical manifestations

1. Vulvar vestibulitis

The vulva is painful after compression, and there is erythema and tenderness in the vestibule area of ​​the vulva.

2. Annular vulvitis

Intermittent vulvitis often occurs during menstruation and after sexual intercourse. The vulva was erythematous and mildly desquamative.

3. Vulvar pain with paresthesia

It is more common in menopausal women. Persistent, non-irritated dull vulvar pain, occasionally involving the perianal area, perineum, and inner thighs. May be associated with other chronic pain. Occasionally, erythema is seen on the vulva, but most of the time there is no abnormality and no obvious tenderness.

examine

1. Gynecological examination.

2. Examination of vaginal secretions.

3. Human papillomavirus can be checked.

diagnosis

The diagnosis is based on history, symptoms, clinical examination, and laboratory tests.

treat

1. Anti-inflammatory

Targeted anti-inflammatory treatment, using antibiotics or antifungal drugs, etc.

2. Relieve Pain

(1) Apply local anesthetics such as lidocaine gel during sexual intercourse.

(2) Antidepressants are effective in treating pain.

(3) Local injection of amitriptyline or interferon is effective in some cases.

(4) For patients with severe pain that is not responsive to drug treatment, surgical treatment may be considered.

3. Pelvic physical therapy

Might work.