pain in the vagina
pain in the vagina - a pathological physical discomfort in the vagina.Characteristics of pain in the vagina are very diverse and depend not only on the causes of its appearance, but also on the individual - personal «pain threshold" and the interpretation of pain sensation.
vagina and surrounding areas contain many nerve endings (receptors) that perform a very important function - they react to external or internal exposure to a physiological or pathological nature.All information obtained from these endings information is provided and analyzed in the brain, it forms there an adequate "response" to any incoming signals from receptors.
not always vaginal pain associated with gynecological or obstetric problems.The vagina is closely linked with the surrounding organs and tissues - urinary tract, rectum, spinal column.Discomfort or pain in the vagina can sometimes be caused by trouble in the adjacent organs and tissues.These pains are called "radiating".
intensity of pain is a wide range, the patient can hardly bother nagging pain in the vagina permanent or short-term nature, and sometimes paroxysmal severe pain in the vagina makes seek help immediately.Deserves special attention sudden severe pain in the vagina on the background of fever, symptoms of infection or bleeding.
pain of inflammatory genesis in the vagina is almost always combined with other signs of inflammation - belyami, bleeding, itching and / or burning, urinary disorders and so on.
pain in the vagina in children may be associated with malformations of sexual organs or injury.In the waning days of hormonal ovarian pain in the vaginal area may be due to natural causes - and atrophic changes in the mucosa dysbiotic processes.
Sometimes vaginal pain during or after sexual intimacy occur in healthy women against the background of natural causes.However, if the pain associated with intimate relationships, are permanent, they may indicate gynecological troubles.
different in strength, duration and intensity of vaginal pain can disturb during pregnancy or after childbirth.
Therapy pain in the vagina depends on its cause.As a rule, a single, brief and inconspicuous pain, held their own, has no serious reasons.Any unexplained severe pain in the vaginal area, especially if it lasts a long time and is amplified, may be the first sign of serious illness.
causes of pain in the vagina
Causes pain in the vaginal area are very diverse and range from the most innocuous to very serious.
Among the most common causes of vaginal pain occur:
- Injuries external genitalia.Pain in the vagina can occur after injury to the vaginal mucosa against the backdrop of improper irrigation or violent forcible sexual intercourse.Traumatic gynecologic manipulation (abortion, diagnostic curettage, "burning" of the cervix and others) can also trigger pain in the vagina.
sometimes nasty fall (eg bicycle) or a similar circumstance leads to injury of the external genitalia.The result is a traumatic edema or hematoma, they compress nerves, causing pain.
- often a pain in the vagina after birth may be due to previous generic discontinuities in the vulva, vagina or cervix.If these gaps sutured properly, in their place, eventually formed a rough scar tissue and pain in the vaginal area will be harass a woman many years after birth.
- Malformations of the sexual organs: imperforate hymen, absence or hypoplasia of the vagina and so on.As a rule, the pain on a background of congenital malformations of the external genitalia appear in childhood or during the start of the first menstrual period.
- Foreign bodies in the vagina is the most common cause of pain in the vagina in children.In women, vaginal pain appear in the background too much vaginal tampon or pessary.
- Omission of the vaginal walls, complete or incomplete uterine prolapse provoke pain in the genital area.
- Pregnancy and its complications can cause pain in the genital area.Almost 60% of women giving birth report pain in the vagina after birth of unknown origin.
- a rare cause of vaginal pain can be large benign in the cavity of the vagina - fibroids and cysts.
- Vaginismus - involuntary contraction of the muscles of the vagina in response to the attempted sexual intercourse and pelvic exam.
- Neginekologicheskie diseases related areas: urethritis, cystitis, proctitis, and so on.
- Gynecological ailments noninflammatory character endometriosis, kraurosis vulva, cervical erosion.
- inflammatory and infectious diseases of the external genitalia: bartholinitis, vulvovaginitis, and specific fungal infection.
- dysbiotic condition of the vulva and vagina mucosa - bacterial vaginosis, goiter.
- Neurotic disorders.Sometimes the pain in the vagina does not have an organic cause and associated with stress or fear.
- genital cancers.
- Pain in the vagina with an unknown cause called "vulvodynia".Such diagnosis is inconclusive after a thorough search of the true causes of vaginal pain.
Difficulties in diagnosing the cause of vaginal pain lies in the fact that almost all the patients can not specify the exact location of the pain, and it is not only a poor knowledge of anatomy.Vulva contains a large number of nerve endings that transmit to each other or the end of the adjacent areas, any "signals" about trouble.
nature of the pain may indicate the most likely cause of its occurrence.Very severe pain in the vagina indicates the development of acute inflammation or injury, and the throbbing pain in the vagina accompanied by the formation of purulent inflammation.Often a sharp pain in the vagina or cutting pain in the vagina indicate the condition requiring emergency medical care.
pain in the vagina
When the patient says that she is ill, "somewhere at the bottom of the vagina", it could mean that she is experiencing pain in the vulva - the initial part of the vagina, including the labia, vestibule, the clitoris andurethra.The most common causes of pain in the lower segment of the vagina are a variety of infectious and inflammatory diseases - vulvity.
Isolated inflammation of the vulva occurs predominantly in children, adult women in the inflammatory process involved all the overlying structures and developing vulvovaginitis.Inflammation of the vulva may be accompanied by severe swelling of mucosa and abnormal secretions.Patients worried about a nagging pain in the vagina periodic or permanent nature.If there is heavy discharge may occur burning sensation (they irritate the inflamed mucous), and with the involvement of inflammation in the urethra appear urinary disorders.
In the subcutaneous - fat labia majora are two (one on each side) Bartholin's gland - a large gland vestibule.After contact with pathogens in the excretory duct cancer, inflammation develops in it - bartholinitis.The clinical picture bartholinitis depends on what it is caused by micro-organisms, the condition of the immune system of the patient, and at what stage of the disease, she asked for help.As a rule, the initial stage of the disease is accompanied by a dull ache in the vagina and in the area of unilateral swelling of the labia.Present in abnormal discharge when inflammation develops in the presence of vaginitis (often specific etiology).In the next stage of inflammation is an increase of the symptoms of inflammation of Bartholin's gland.There is a sharp pain in the vagina while driving or walking, deteriorating health, the temperature may rise.Some patients clearly indicate when cutting occurs colpodynia or only in the affected area, but instead arises labia swollen painful "bump".
If bartholinitis in the initial stages is not treated in the affected area develops purulent inflammation - Bartholin gland abscess.It appears typical of purulent process throbbing pain in the vagina accompanied by increased body temperature and deterioration of health.Perhaps the spontaneous opening of the abscess with the release of a large number of yellow-green pus and improving health.However, if adequate treatment was not, the infection can stay in the body, causing relapses bartholinitis.
Chronic bartholinitis does not cause symptoms bright.You may receive periodic dull pain in the vagina and in the area of unilateral swelling of the labia.
long-existing chronic bartholinitis leads to the fact that the cavity is filled with prostate fluid so formed Bartholin gland cyst.
Less common causes of pain in the lower part of the vagina are trauma and tumors.
pain in the vagina during pregnancy
Pregnancy is a normal physiological process, programmed by nature.Some women mistakenly believe that any new sensation in the body associated with childbearing, a disadvantage.Meanwhile, most of the changes and sensations in the body of the future mother are related to physiologic causes and it is not worthy of concern.Sometimes a pregnant woman may experience slight vaginal pain, not a pathology.Almost always, these pains are connected with the natural increase in the size of the uterus and hormonal changes in the body.They are short-term, are not accompanied by other alarming symptoms disappear on their own, do not affect the health and have no consequences.
Throughout pregnancy, vaginal mucosa is preparing for the upcoming events: it increases in thickness, it becomes more loose and supple.With the onset of pregnancy, and changes the composition of the vaginal microflora.In a normal healthy vagina 95% "inhabited" by lactobacilli.The remaining 5% are opportunistic pathogens that because of the small number does not prejudice women's health.Lactobacilli provide adequate acidity of the vaginal environment, which does not allow unwanted bacteria to multiply.Hormonal changes during pregnancy provoke a decrease in the number of lactobacilli in the vaginal mucosa, their place is taken by opportunistic microorganisms.On the one hand, these changes provide proper for future delivery, on the other - increases the likelihood of injury or inflammation.Pathological pain in the vagina of a pregnant appear together with the secretions, itching, burning, discomfort, and urinary disorders.
Pregnancy sometimes alters not only the physical condition of the woman, it affects the psyche of her: she becomes overly hypochondriac, sometimes maudlin.Against the backdrop of increased psychological vulnerability of a pregnant woman may develop increased anxiety and fear of losing a child.Pain in the vagina in such conditions are psychogenic nature and have no physical cause.Such a state, in spite of the absence of pathology, is not harmless, because it can trigger premature labor.Timely counseling therapist and adequate sedation to help resolve psychogenic pain in the vagina.
Vaginal pain in pregnant patients can sometimes be the result reflected the pain in the uterus with the threat of miscarriage or premature birth.These conditions, along with vaginal pain accompanied by other distressing symptoms: intense nagging abdominal pain and bleeding.
self-diagnosis for any pain in the vagina of a pregnant woman is not engaged.
gives pain in the vagina
not always a pain in the vagina indicate their true source.Any adjacent to the vagina area can project him pain.In most cases, vaginal pain is the result of the projection of pathological processes in the pelvic cavity.Next door to the vagina and the urinary tract are the rectum with it a common system of nerve endings, so the pain of those bodies can issue the vagina.
Sometimes the vagina projected pain in the lumbosacral osteochondrosis.
distinctive feature of vaginal pain neginekologicheskogo nature is their combination with other manifestations, which can be suspected the true cause of pain.For example, in diseases of the bladder there is a violation of urination and diseases of the rectum is accompanied by changes in the nature of a chair.
If gynecological examinations of patients with pain in the vagina does not reveal pathology, further search for the causes of vaginal pain exercise therapist.
most common causes of pain in the vagina are inflammatory diseases of obesity, vaginitis, etc.As a rule, they are accompanied by vaginal piercing pain of varying duration and intensity, while combined with other symptoms of inflammation.Inflammation in the vagina is not usually cause severe and prolonged pain in the vagina, much more disturbed patients associated pain symptoms.
Abnormal vaginal discharge - the most frequent companion of inflammatory diseases of the vagina.Character cables as obesity depends on the source of inflammation.Pain in the vagina as obesity associated with irritation of the nerve endings of abnormal discharge and local inflammation.
in bacterial vaginosis in vaginal microflora is composed of very small lots of lactobacilli and opportunistic microbes.The abundant serous discharge has a characteristic "fishy" smell and a liquid consistency.A distinctive feature of baktrialnogo vaginosis is the lack of signs of local inflammation in the gynecological examination.
When vulvovaginal candidiasis (candidiasis) cause inflammation are yeast-like fungi Candida.Copious and dense, have a specific "cottage cheese" appearance.Inflammation of the mucous vaginal candidiasis is expressed clearly, so pain in the vagina may be more pronounced and accompanied by intense itching in the vagina and vulva.
specific infectious processes in the vagina causing severe inflammation that can rise to the uterus and bladder.Disorders of urination, burning sensation, and purulent vaginal accompanied by copious stabbing pain when sexually transmitted infections.
Stitches in the vagina can occur in older women.Atrophic changes in the mucous membranes of the vulva and vagina in the background complete the hormonal ovarian function lead to the appearance of pain, dryness and discomfort and increase the risk of microtrauma.
Sometimes short stabbing pain in the vagina may appear on the background of cervical erosion.
Traumatic injuries of the vagina cause sharp stabbing pain in combination with spotting.
Drawing pain in the vagina
Vaginal pain pulling character in most cases related to the violation of the elasticity of vaginal tissues, their excessive stretching or abnormalities of the external genitalia.
Structural changes in the vaginal wall, with subsequent loss of elasticity can be developed against the backdrop of growths of scar tissue.If the previous labor accompanied by serious gaps in the vagina, in their place after childbirth can develop severe scarring of the non-elastic connective tissue.