When to worry about pain during sex with vulvodynia

Vulvodynia is persistent vulval pain without one obvious visible cause. Pain may feel burning, stinging, raw, or sore and can be triggered by touch, penetration, clothing, or sitting; some people feel pain without contact. The vulva may look normal even when symptoms are intense. Infection, skin conditions, hormonal changes, nerve sensitivity, and pelvic floor muscle tension can produce similar symptoms or occur alongside vulvodynia.

Pause any activity that causes pain and avoid fragranced washes, douches, and irritating products. Wear loose breathable clothing and use a plain lubricant if penetration is comfortable. Keep a short symptom record showing triggers, cycle timing, products, and treatments tried. A clinician may examine the skin, test for infection, assess pelvic floor muscles, and discuss a tailored pain plan.

Book an appointment for pain lasting beyond a short episode, pain after a new product or medicine, or symptoms that are changing your usual activities. Seek prompt care for discharge, sores, bleeding, burning urine, or visible skin changes. Urgent assessment is appropriate for severe swelling, inability to urinate, fever, or rapidly worsening pain.

Ask what needs to be ruled out and how an examination can be adapted to your comfort. Ask whether pelvic floor therapy, topical treatment, nerve-pain approaches, or psychosexual support may fit your symptoms. Discuss ways to maintain intimacy without triggering pain and when a follow-up should occur.