Vaginal Opening Pain? STOP GUESSING! Diagnoses, pH Testing, & Treatment. Dr. Khan

Описание: Vaginal Opening Pain? STOP GUESSING! Diagnoses, pH Testing, & Treatment. Dr. Khan

Detailed Long Description
Suffering from burning, stinging, or sharp pain at the vaginal opening? 😥 You are not alone! This symptom, clinically known as introital pain or superficial dyspareunia, is common but often distressing. Many women endure years of discomfort before seeking help.
Watch this video where Dr. Farzana Khan (MD, MRCGP, DFFP) discusses the key causes of introital pain and the diagnostic pathway.
🔗 READ THE FULL ARTICLE HERE: https://thewomenshealth.clinic/faq/pa...
Understanding Introital Pain 🧐
Pain localized to the vaginal entrance can arise from multiple factors, including hormonal changes, infection, dermatological conditions, nerve hypersensitivity, or muscle tension. The pain is a genuine physical symptom, not solely a reflection of anxiety or inadequacy.
Dr. Farzana Khan is a women’s health expert who qualified as an MD in 2003 and focuses on careful assessment for conditions including dryness/GSM and lichen sclerosus. She emphasizes that pain is a signal requiring attention in the tissue, hormones, muscles, or nerves.
Key Diagnoses Considered:
Vulvovaginal Atrophy / Genitourinary Syndrome of Menopause (GSM): Caused by a fall in oestrogen, leading to thin, fragile, and inflamed tissues (raw, burning sensation).
Provoked Vestibulodynia: Chronic pain or tenderness triggered by touch or pressure to the vestibule, often involving nerve hypersensitivity.
Dermatological Conditions: Conditions like Lichen Sclerosus (thin, white, fragile skin that requires steroid ointment, not thrush cream) or Lichen Planus can cause severe pain and soreness.
Infection & Inflammation: Includes fungal infections like Candida (Thrush), or viral conditions like Herpes Simplex Virus.
Pelvic Floor Muscle Dysfunction (Vaginismus): Involuntary spasm of muscles creating a physical "barrier" and making penetration difficult.
Stop Guessing: The Power of pH Testing 🧪
The vaginal pH level is the single best clue for several conditions:
pH 3.5 – 4.5 (Normal Acidic): Likely Thrush (Candida) or a skin condition.
pH less than 3.5 (Very Acidic): Likely Cytolytic Vaginosis (CV) (overgrowth of good bacteria). Anti-fungals will burn; baking soda baths may help neutralize the acid.
pH geater than 4.5 (Alkaline): Likely Bacterial Vaginosis (BV) or Trichomoniasis.
Treatment Approaches 🩺
The vast majority of introital pain responds to medical therapies and lifestyle changes. Treatment is tailored to the underlying diagnosis and may include:
Topical Oestrogen: Cornerstone treatment for vulvovaginal atrophy.
Pelvic Floor Physiotherapy: Essential for muscle tension and vaginismus.
Topical Steroids: Used for inflammatory skin conditions like lichen sclerosus.
Nerve-targeted therapies for vestibulodynia.
Dr. Farzana Khan offers careful assessment and discusses medical and conservative options first, considering regenerative or aesthetic treatments where appropriate. She is a KOL/Trainer for Neauvia, Asclepion Laser, and RegenLab.
If thrush treatments burn or fail, you may have Cytolytic Vaginosis. If BV treatments fail quickly, a Biofilm may be the cause. Seek immediate medical review if you experience severe sudden pain, persistent bleeding, or new lumps.

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Keywords: vaginal pain, introital pain, superficial dyspareunia, vulvodynia, vestibulodynia, lichen sclerosus, genitourinary syndrome of menopause, GSM, vaginal atrophy, painful sex, vaginismus, pelvic floor dysfunction, Candida, thrush, bacterial vaginosis, BV, Cytolytic Vaginosis, CV, vaginal pH test, Dr Farzana Khan, women's health, gynaecology, vulvar pain
Hashtags: #VaginalPain #Vulvodynia #LichenSclerosus #WomensHealth #Dyspareunia #PainfulSex #Menopause #VaginalAtrophy #DrFarzanaKhan #SexualHealth #IntroitalPain #PelvicFloor #HealthEducation