Burning, itching, or discomfort in the vulva? Learn what might be behind it, how to ease the symptoms, and when it’s time to see a healthcare provider.

Vulvar Pain and Irritation: What’s Causing It and How to Find Relief

Vulvar pain and irritation by Alisha HarrisAug 15, 2025

The vulva — the external part of the female genitalia — is sensitive and can easily become irritated or painful due to a range of causes. Some are temporary and mild, while others may be persistent and require medical attention.
If you’re experiencing itching, burning, soreness, or rawness, you’re not alone — and it’s not something you have to live with.


Common Symptoms

  • Burning or stinging sensations
  • Itching or tingling
  • Redness or swelling
  • Dry, cracked, or peeling skin
  • Pain with sitting, touching, or wearing tight clothes
  • Discomfort during sex or when urinating


What Might Be Causing It?

1. Irritants
Everyday products like scented soaps, bubble baths, laundry detergents, wet wipes, or pads can irritate the vulvar skin.
2. Infections
Yeast infections often cause itching and swelling.
Bacterial vaginosis (BV) may cause irritation and odor.
STIs (like herpes or trichomoniasis) can also lead to vulvar discomfort.
3. Skin Conditions
Eczema, psoriasis, or lichen sclerosus can all affect the vulva and cause itching or pain.
4. Hormonal Changes
Menopause, breastfeeding, or hormonal treatments can thin vulvar tissue, making it more prone to irritation.
5. Tight Clothing or Friction
Wearing synthetic underwear or tight pants can trap moisture and cause chafing or discomfort.
6. Vulvodynia
A chronic condition characterized by ongoing vulvar pain without a clear cause. It may feel like burning, stinging, or rawness and can last for months.


What Can Help?

Switch to Gentle Products
Use unscented, hypoallergenic soaps and laundry detergents. Avoid douching and scented wipes.
Wear Breathable Fabrics
Cotton underwear and loose-fitting clothes help reduce moisture and friction.
Try Cool Compresses or Soothing Creams
A cool compress or OTC hydrocortisone (only as directed) can relieve temporary irritation.
Use Lubrication
If dryness is contributing to pain during sex, try a water-based or silicone lubricant.
Talk to a Specialist
If pain is persistent or severe, a gynecologist or vulvar specialist can run tests and offer personalized care.


When to See a Doctor

Don’t wait if:
  • Symptoms last more than a few days
  • Pain affects daily life or intimacy
  • There’s unusual discharge or odor
  • You notice sores, blisters, or white patches
  • You've tried OTC treatments without relief
A pelvic exam, swab, or biopsy might be needed to diagnose the issue accurately.


Final Thoughts

Vulvar pain and irritation can be frustrating, uncomfortable, and sometimes isolating — but you’re not alone. Whether it’s an infection, a skin condition, or a chronic issue like vulvodynia, there are real treatments that can help you feel like yourself again.
Listen to your body. You deserve comfort and care — and there’s no shame in seeking answers.
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