How is vulval pain treated?

Pain may be burning, stinging, tenderness, or soreness at the vulva. Thrush, genital herpes, a Bartholin cyst, and inflammatory skin conditions can cause short-term pain. Vulvodynia describes ongoing vulval pain without a single infection or visible cause. A clinician may inspect the skin, check for a lump or sores, and use a swab when infection is possible.

Avoid fragranced washes, deodorants, douches, and clothing that rubs the area. A cool compress and plain protective emollient may soothe external irritation. Confirmed thrush or herpes needs appropriate prescribed or pharmacy treatment, while a painful Bartholin cyst may require drainage or marsupialisation. Lichen sclerosus is commonly managed with prescribed topical treatment. Vulvodynia may be approached with tailored pain strategies, pelvic floor therapy, and support for pain during sex.

Book an examination for pain that persists, returns, interferes with sitting or sex, or comes with a new lump, sores, discharge, bleeding, or skin change. Seek urgent help for fever with rapidly increasing swelling, severe pain, or difficulty passing urine. Do not squeeze a vulval lump or apply leftover creams without advice.

Ask what the examination shows, whether a swab is useful, which pain-relief measures are suitable, and when a lump needs a procedure. If pain has lasted, ask about vulvodynia and pelvic floor assessment.