Vagina Hairy Pain

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Vaginal pain can put a serious damper on things (think: sex, going to the bathroom). And, let’s be honest, "why does my vagina hurt?" is not the easiest question to bring up in conversation for many women, even with a doctor.
Unfortunately, you don't get to pick and choose your ailments. But you can educate yourself (and advocate for yourself!) on what might be causing your vaginal pain—which will make finding a remedy for it much easier.
For starters, it's important to distinguish you pain points. "Some women describe the area down below as their vagina," explains Melissa A. Simon, MD, George H. Gardner professor of clinical gynecology at Northwestern University. But in reality you could actually be talking about your vulva, uterus, a hernia, or severe cramping in the pelvic or abdominal region.
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Not sure where your discomfort is coming from? "Keep a pain journal so you can better characterize the pain to your health care provider if symptoms persist," suggests Kendra Segura, MD, California-based ob-gyn and Married To Medicine cast member. "Your vagina should not hurt. There is always a reason." And you should seek help from a doc ASAP, especially if the pain is interfering with your day-to-day activities.
Until your appointment, if you want a better idea of what you might be experiencing down below, check out this list of common causes of vaginal pain, according to the experts.

The most common symptoms of yeast infections are more on the itching and burning side of things, says Gokhan Anil, MD, an ob-gyn in the Mayo Clinic Health System. But they can also be painful (not to mention annoying as hell). "The yeast can impact the inside of the vagina, or directly outside of the vagina, which may cause swelling and redness," says Dr. Anil. You may also experience vaginal discharge. "It's white and commonly described as having the appearance of cottage cheese," Dr. Simon explains.

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How to treat it: While you can treat a yeast infection with OTC medications (and may choose to if you've experienced this type of infection before), it's best to seek a doctor's opinion if this is your first time dealing with the condition. Your ob-gyn will perform a pelvic exam and prescribe you an anti-fungal cream to use until your symptoms are gone. And if you do decide to go the OTC route, make sure to see a doctor if your symptoms don't clear up in a week.

Bacterial vaginosis can also cause itching and vaginal discomfort, but any discharge you might have will likely be more watery, and accompanied by a fishy odor. The condition is caused by an overgrowth of bacteria in the vagina.
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“Normally, the vagina is populated with good bacteria that keep the pH of your vagina in balance,” Lauren Streicher, MD, the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, previously told WH. But when the good bacteria get outnumbered by “bad” bacteria, that’s when you have a case of BV. Docs aren't sure exactly what triggers it, but sex and your period can throw off your vaginal pH.
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How to treat it: If you have bacterial vaginosis, a quick round of antibiotics (usually either a pill or cream) from your doctor can squash it and get rid of any symptoms.
Herpes, chlamydia, gonorrhea—generally any kind of sexually transmitted infection (STI) can cause pain down there, says Dr. Anil.
With herpes specifically—which affects about one in every six Americans, according to the Centers for Disease Control and Prevention, by the way—it's typically nerve- or inflammation-related, says Dr. Anil. "Herpes tends to have specific lesions you can see and are quite tender to the touch," he adds.

"Keep a pain journal so you can better characterize the pain to your health care provider if symptoms persist." —Kendra Segura, MD
Pain from other STIs typically comes from general inflammation. "They tend to create more swelling of the vaginal tissue, which tends to be sensitive to pain and discomfort, as well as burning and itching," says Dr. Anil. Either way, you need a doc to check you out if you're experiencing pain and inflammation of any kind in the vagina area, in order to get things under control.
How to treat it: Fortunately, according to Dr. Segura, STIs are one of the easiest to address on this list. "There is a clear way to treat via antibiotics, and there is a clear method of prevention—abstinence or condom usage," she explains. Chlamydia, gonorrhea, and other STIs can typically be cleared up with medication; and herpes, though not curable, can be managed to reduce future outbreaks and pain.
Vaginal dryness is all about the hormone estrogen—specifically a lack of it. (FYI: The issue doesn't only come up for post-menopausal women, either.)
"At the end of the day, estrogen itself is a growth hormone that improves blood flow to the vagina, thickness of the vaginal wall, as well as the elasticity and lubrication of the vagina," says Dr. Anil. And when there's not enough estrogen coursing through your body—whether it's from your birth control pills, breastfeeding, or, yes, menopause—it can make things pretty painful.
How to treat it: If you feel like your vagina doesn't lubricate the way it used to, it might be time to check in with your doctor, says Dr. Anil. They'll be able to treat you with something topical, or even change your contraception method, to make you a bit more comfortable.
While you may be inclined to blame your own anatomy, you might want to look at your partner, too. "Is it really pain in your vagina that you're experiencing, or is it pain during penetration—something you feel inside your belly?" says Mary Jane Minkin, MD, an ob-gyn and founder of MadameOvary.com. "It can be very hard to differentiate."
Basically, that "belly pain" might actually be coming from a penis penetrating you uncomfortably (possibly because it is large for your anatomy). If sex is uncomfortable for you—and you suspect your partner's size is to blame—try changing positions, specifically ones that don't allow for super-deep penetration, like the reverse cowgirl. And make sure to use lube...lots of lube.
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And if it's not size, maybe it's what's on your parter's penis. Do they have piercings? Do you have piercings? Both could cause discomfort during sex. It's also important to consider the condoms you're using, Dr. Simon adds. You could be allergic to latex, which could result in itching and vaginal pain.
How to treat it: Your family medicine doctor or gyno will be able to suss this one out via an exam and honest convo with you. They may suggest switching up your condoms or trying a lubrication product.
Vulvodynia is chronic vaginal pain without an identifiable cause (so, not because of an infection or other medical condition), according to the American College of Obstetricians and Gynecologists (ACOG). "About 9 percent of women will have this kind of pain in their lives," says Dr. Minkin, describing the discomfort as occurring during penetration or even when you're inserting a tampon.
For some women, though, pangs of pain are spontaneous and unrelated to sex or touching the area in any way. "It's mysterious in that it can come and go," says Dr. Minkin.

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Vulvodynia isn't well understood, but doctors believe the pain comes from the extra nerve fibers in that outer part of the vagina and vulva. "It's the most enervated part of the vagina," says Dr. Anil.
How to treat it: Doctors who diagnose vulvodynia will often treat it with topical medications such as lidocaine, which are also used for fibromyalgia, another chronic pain condition without a known cause.
Endometriosis is kind of a confusing condition—and pretty tricky for doctors to diagnose, too. Endometriosis is when uterine tissue grows in places outside of the uterus (like inside your pelvic region, your abdomen, or even other places, like your lungs).

The condition is also incredibly painful. "It creates chronic inflammation and scarring around tissues, which can cause pain," says Dr. Anil.
How to treat it: Endometriosis is typically treated with hormone therapy or surgery to remove any tissues that are causing pain.
Pelvic inflammatory disease—an infection of your uterus, fallopian tubes, or ovaries—is another inflammatory condition that can cause pain in your vagina. "It can result in scarring inside the pelvic organs, or it may cause [the pelvic organs] to attach to one another, causing chronic discomfort and pain," says Dr. Anil.
How to treat it: After a pelvic exam and ultrasound to determine whether you're suffering from this condition (which can develop as a result of leaving an STI untreated, FYI), your doctor will likely put you on a course of antibiotics to cleat the infection.
Vulvovaginal atrophy is thinning, drying, and inflammation of the vaginal walls that can happen when your body produces less estrogen, so, most commonly after menopause, according to Mayo Clinic. This condition can make sex and urination uncomfortable.
How to treat it: After diagnosis from your ob-gyn, the condition is typically treated with lubricant and hormone therapy.
Pelvic pain (along with back pain, abnormal bleeding, brown discharge, fatigue, nausea and weight loss) is a symptom of cervical cancer. If you're experiencing these symptoms and haven't had a pap smear in the last year, talk to your doc.
If you've gone to your health care clinician and they've determined that there's nothing going on, you might also want to consider past life events that could have resulted in your pain.
"Did you reveal your history of child abuse, sexual assault, or trauma with vaginal birth?" Dr. Simon asks. All of these non-evident factors could result in vaginal pain, she explains.
If you have experienced sexual assault or surgeries that resulted in a traumatic healing experience, revealing this to your MD could help them recommend the proper treatment—whether that's therapy, medication, etc. It's important for both docs and patients to remember that mental health is just as an important part of a wellness check as anything else.
Hey, talking about vaginal pain can be totally awk (even though it shouldn't be!). But speaking up to a health care provider is key to find relief, and to rule out any underlying condition that requires special treatment.
If you've already reported your symptoms and feel like they've been brushed off or misdiagnosed by a particular provider, know this is not uncommon—especially for women and people of color, says Dr. Simon. A big question to ask when it comes to disparities in health care is, "Does the patient feel agency to ask questions of their health care provider?" Dr. Simon points out.
Do you feel like you could ask your MD, "what else could it be doc?" and they would respond with something other than a dismissal? If the answer to that question is no and you don't feel like you're being heard, know that you are allowed to and encouraged by these pros to find a second opinion.
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There are multiple causes of vaginal pain, including infection, irritation or trauma. Learn how to cure vaginal pain by understanding causes and relief options.
Use our free symptom checker to find out what's causing your pain.
Vaginal pain can be due to a variety of causes. Something as simple as irritation from shaving or soreness after sexual intercourse can cause vaginal pain symptoms. Various infections, including urinary tract infections, yeast infections, and sexually transmitted infections (STIs) can cause vaginal pain as well.
Some causes of vaginal pain symptoms can be treated or prevented at home by following some basic hygiene instructions. Yeast infections can be treated with over-the-counter medications. Other causes of vaginal pain, including all sexually transmitted infections, will need to be evaluated and treated by a doctor. The risk of sexually transmitted infections can be greatly reduced by the proper use of condoms.
If you're experiencing vaginal pain, it's likely to also experience:
There are multiple causes of vaginal pain, including infection, irritation, or trauma. Viral and bacterial infections, whether sexually transmitted or not, can cause lesions, pain, discharge, or itching. Yeast infections and urinary tract infections may also cause vaginal pain. Irritation from shaving, hygiene products, or vaginal dryness can lead to pain as well. Less commonly, vaginal pain symptoms are due to trauma or a vaginal pain syndrome.
Vaginal pain may be caused by the following infections.
Use our free symptom checker to find out what's causing your pain.
Causes related to irritation of the vagina may be related to the following.
Other causes of vaginal pain may be related to the following.
This list does not constitute medical advice and may not accurately represent what you have.
Yeast infections are due to alterations in the balance of microscopic organisms in the vulvar and vaginal regions. The term "yeast infection" is most commonly used to describe symptoms caused by the fungus Candida albicans.
Symptoms include itching of the vaginal and vulva, burning, redness..
The Bartholin gland sits in the outer part of the vagina and produces fluid that lubricates it. A Bartholin duct abscess is caused by a blockage in the gland and a bacterial infection within the fluid that builds up.
Top Symptoms: vaginal pain, painful sex, bump on the outer part of the vagina, painful vagina lump, small vagina lump
Symptoms that always occur with bartholin duct abscess: bump on the outer part of the vagina, vaginal pain
Lichen sclerosus is chronic skin condition in which a person forms patches of white, wrinkly, thin skin, often described as being like "cigarette paper." Most people with this condition will experience it on their anus and genital regions, and some will experience it on other parts of their body.
The primary symptom of lichen sclerosus is the presence of skin changes as well as bruising, bleeding, inflammation, itching and pain in the affected areas.
The condition slowly progresses over time without treatment. Lichen sclerosus is benign but can cause significant discomfort and disfigurement. Treatment options include topical and oral medications, phototherapy, and circumcision in men to remove damaged skin.
Top Symptoms: vaginal itch or burning, vaginal pain, painful sex, dry skin on the outside of the vagina, painful urination
A Bartholin cyst is a fluid-filled mass that can develop near the opening of the vagina. They can be painful or painless and are caused by a buildup of fluid in a small gland near the vaginal canal.
Symptoms predominantly include the presence of a painless bump near the vaginal opening as well...
Vulvar cancer is a cancer of the outer portion of the female genitalia.
Top Symptoms: vaginal discharge, vaginal itch or burning, vaginal pain, painful urination, vagina lump
Use our free symptom checker to find out what's causing your pain.
The best ways to manage or prevent vaginal pain can begin at home. Consider the following options.
If your vaginal pain worsens or persists, you should see your doctor. He or she may recommend the following.
If you have severe vaginal pain, seek treatment right away.
Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Female, 27. Just yesterday, I was just experimenting with tampons, trying to find ways to get comfortable. Unfortunately, without thinking, I used petroleum jelly as I read somewhere where vaseline helps with tampon friction. I made several attempts with tampon insertions and removal. Now, I am afraid I hurt myself badly. I could be on the verge of getting an infection from the jelly and multiple attempts that have caused tearing. What can I do to self-treat at home since I have no insurance?
Resident in Emergency Medicine at the University of Washington
Dr. Martin is an Emergency Medicine resident at the University of Washington in Seattle. She received her undergraduate degree from Stanford University where she majored in Human Biology, and received her MD from the University of Pennsylvania. She’s interested in Emergency Medical Services and Flight Medicine, and is currently a resident flight physician with Airlift Northwest. In her free time, she enjoys playing ultimate frisbee, cycling, rock climbing, and trail running!
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References
Vaginitis. Cleveland Clinic. Cleveland Clinic Link
Jobling P, O'Hara K, Hua S. Female reproductive tract pain: targets, challenges, and outcomes. Front Pharmacol. 2014;5:17. Published Feb. 13, 2014. NCBI Link
Heim LJ. Evaluation of Differential Diagnosis of Dyspareunia. Am Fam Physician. 2001 Apr 15;63(8):1535-1545. AAFP Link
Vaginal Symptoms. healthychildren.org. healthychildren.org Link
Urinary Tract Infection - Female. Seattle Children's. Update
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Vagina Hairy Pain