What medicine is used for vaginal pain

Many women experience vaginal pain due to various reasons such as sexual intercourse. Due to the embarrassment of the painful area, many women do not know how to deal with it. This is a common problem for women in their twenties and thirties, so many women will choose to take medication to relieve their pain when this happens. So what medicine is good for vaginal pain? In addition to taking medication, what other issues should we pay attention to?

Gynecologists estimate that 15% of women suffer from varying degrees of "chronic vulvar pain." Some women have their first attack, usually after an infection (such as a fungal infection), gynecological surgery, or childbirth. But most cases are not related to a single incident or external injury.

Chronic vulvodynia is more common among women in their twenties and thirties. Symptoms include burning, itching, swelling, and stinging in the vagina and sometimes even pain around the rectum. People with vulvodynia usually experience pain during sex, but sometimes it can occur when you're totally unexpected.

The causes of dyspareunia are complex:

(1) Sexual ignorance or lack of sexual experience. For example: men mistakenly use the urethra as a vagina for sexual intercourse; men insert their penis into the vagina violently without any preparatory movements before sexual intercourse, etc.

(2) Sexual intercourse pain and vaginismus exist at the same time, and the two may be causal factors to each other.

(3) Physiological atrophy of reproductive organs. For example, women who are postmenopausal or have had their ovaries removed may experience atrophy and dryness of their reproductive organs due to insufficient estrogen secretion, which is a common cause of pain during sexual intercourse.

(4) Congenital defects, dysplasia or acquired organic lesions of the reproductive organs and surrounding organs. For example: congenital thickening of the hymen, hymenal fimbria, vaginal stenosis; congenital ovarian dysplasia or male pseudohermaphroditism accompanied by short vagina, vaginal septum or diaphragm, hypospadias; clitoritis, smegma of the clitoris, Bartholin's gland cyst, scar after episiotomy, vulvitis, vulvar ulcer or Behcet's syndrome; vaginal introitus narrowing caused by atrophy of white lesions of the vulva, various inflammations in the vagina, vaginal cysts and vaginal stenosis caused by various treatments; urethritis, urethral caruncle, urethral diverticulum, urethral prolapse; rectal tumors, enteritis, severe hemorrhoids, rectovaginal fistula; endometritis, retroverted uterus, uterine prolapse; ovarian cysts and tumors, ovarian ptosis, posterior fornix of ovarian fixation after surgery; endometriosis, adnexitis, pelvic inflammatory disease, soft tissue adhesions in the pelvis after surgery, etc.; all of which can cause pain during sexual intercourse.

(5)Psychological reasons. The psychological reasons for sexual intercourse pain include: incorrect sex education given by the family to children, which makes sexual intercourse after marriage associated with anxiety, fear, and guilt; being raped when unmarried, rough actions of men during first marriage, etc., which makes sexual intercourse associated with pain in the future; emotional discord between husband and wife, fear of pregnancy from sexual intercourse, loose living quarters, fatigue, etc., which can inhibit women's sexual excitement or fail to arouse sexual excitement, resulting in insufficient vaginal lubrication and causing pain. Treatment of dyspareunia depends on the cause. Generally speaking, it is necessary for patients to receive sex education before marriage and to receive sex counseling and diagnosis. If a young woman has her ovaries removed, estrogen can be used as a replacement therapy; for middle-aged and elderly people with vaginal atrophy and dryness, oral administration of nialestradiol or use of body lubricants can produce significant results. If it is caused by congenital or organic diseases, surgery or drug treatment should be used according to the condition, which can also achieve better results. If the above reasons are ruled out and psychological reasons are considered, medical personnel must have a detailed understanding of the patient's understanding and attitude towards sexual life, sexual intercourse methods, psychological state, marital relationship, health status, etc. to eliminate hidden worries, and pay attention to flirting activities before sexual intercourse to arouse sexual excitement, increase vaginal moisturizing, and conduct sexual behavior therapy when necessary.