Vaginal Pain During Pregnancy: 8 Causes & What To Do

February 2022

Vaginal pain is a common symptom during pregnancy. It is usually a result of the baby's development, which can cause pressure on vaginal tissue and decrease blood flow to the region.

However, vaginal pain can also be a sign of a more serious problem like a urinary tract infection, sexually-transmitted infection, or vaginismus, especially if pain emerges with other symptoms.

If you have other symptoms besides vaginal pain, such as bleeding, vaginal discharge, itchiness, or burning, it's important that you visit your doctor or obstetrician, to identify the cause of the vaginal pain and start the adequate treatment. 

The main causes of vaginal pain during pregnancy are:

1. Normal development of the baby

While the baby grows and gains weight inside the uterus, it also increases pressure on the pelvic floor muscles, which are muscles that support the uterus and the vagina. This can cause intense discomfort or pain in the vagina, which is more common during the third trimester of pregnancy.

In addition, because of the pressure caused by the growing baby, there may be a decrease in blood flow to the pelvic area, which can cause the vagina to become swollen and more painful.  

What to do: There are some ways that you can relieve pressure and reduce pain, like avoiding standing for prolonged periods, placing a cold compress on the pelvic area, and resting after activity. Even though discomfort is more common at the end of pregnancy, it's important to see your obstetrician if the pain is too intense and stops you from walking or doing normal day-to-day activities.

2. Vaginal dryness

Vaginal dryness is also very common during pregnancy. It occurs due to the increase in progesterone, although the expectant mother's natural anxiety can also contribute to dryness. As a result, women can experience pain during sexual intercourse. 

What to do: it's important to identify the cause of dryness, and to see your obstetrician. He or she may suggest use of a lubricant, changes in diet and/or exercise or routines that may help decrease anxiety. 

3. Intense vaginal sex

Vaginal pain during pregnancy can also happen after intense vaginal sex which, due to the friction caused by penetration or lack of lubrication, may lead to vaginal irritation, swelling, and pain.

What to do: it's essential to ensure adequate lubrication before penetration in order to avoid lesions in the walls of the vagina and pain during sexual intercourse. If this is the case, it may also be advised for you and your partner to decrease the frequency and intensity of sexual intercourse, so that the vagina tissue is able to recover more quickly. If there is bleeding during sexual intercourse, you should advise your doctor or obstetrician.  

4. Vaginismus

Vaginismus is a condition where the vaginal muscles contract and cannot relax naturally, causing pain in the vagina and difficulty with penetration. This situation may appear during pregnancy, but may be present before pregnancy.  

What to do: Consult your doctor or a pelvic floor therapist. They will assess the pelvic muscles to identify the cause of the vaginismus and from there they will indicate suitable treatment.  

5. Rash

Sometimes expectant mothers can get a rash in the genital area when they use certain products that contain irritant ingredients (e.g. soap, condoms, vaginal creams, or lubricants). This can cause swelling, itchiness, redness, and pain in the vagina.

What to do: It's important to identify the product that may be triggering symptoms and discontinue it immediately. To relieve symptoms, you can place a cold compress on the external genital area. However, in cases in which symptoms do not improve or if they become more intense, consult your doctor for assessment and treatment

6. Urinary tract infection

A urinary tract infection (UTI) is a common condition during pregnancy. It happens due to changes in the body that encourage overgrowth of naturally-occurring vaginal flora. Vaginal pain is a frequently-occurring symptom of a UTI, as well as itchiness, burning sensation when peeing, and cloudy urine.  

What to do: You should consult your doctor if you suspect a UTI, especially if you experience discomfort. Treatment may involve antibiotics or antifungal medication. It's also important that you drink plenty of water every day, follow a diet that is low in sugar, and wear comfortable clothes and cotton panties. 

7. Sexually-transmitted infections

Sexually-transmitted infections, known as STIs, can cause vaginal pain in pregnancy. This is particularly the case wuth chlamydia and genital herpes. Other symptoms include itchiness and burning.

What to do: if you have any symptoms that may indicate an STI, you should see your doctor for assessment. If confirmed, the doctor will initiate treatment, which will likely be done with medication. You should avoid having sex during treatment and ensure that your sexual partner is aware to seek assessment and possible treatment.  

8. Bartholin's Cyst

Vaginal pain during pregnancy may also occur when there are cysts in the Bartholin's glands, which happen due to an obstruction of the gland. This can cause swelling and vaginal pain, especially when there is inflammation in the glands. 

What to do: If you feel a palpable lump in the vagina or have any other symptoms mentioned above, see your doctor for assessment. Treatment may involve pain medicaition and antibiotics if the cyst is infected.

Was this information helpful?

Edited by Tua Saude editing team in February 2022. Medical review completed by Dr. Sheila Sedicias - Gynecologist in July 2021.

References

  • NASCER: SÃO JOÃO. Queixas na gravidez que devem levar à Urgência. Available on: <https://portal-chsj.min-saude.pt/uploads/document/file/887/Queixas_na_gravidez_que_devem_levar___Urg_ncia_v3.pdf>. Access in 27 Jan 2021
  • HEALTHLINE. Why Vaginal Pressure During Pregnancy Is Totally Normal. Available on: <https://www.healthline.com/health/pregnancy/vaginal-pressure>. Access in 27 Jan 2021
Show more references
  • FEMINA. Disfunção sexual feminina. 2019. Available on: <https://www.febrasgo.org.br/media/k2/attachments/FeminaZ02Z-ZFevZ2019.pdf>. Access in 27 Jan 2021
  • NEUROENDOCRINOLOGY LETTERS. Sexual activity during Pregnancy. 2016. Available on: <https://www.researchgate.net/publication/299072479_Sexual_activity_during_Pregnancy/link/5713c26608aeebe07c0639ab/download>. Access in 27 Jan 2021
  • UNM HOSPITALS. What to Know During Your Pregnancy: Weeks 34-42. Available on: <https://unmhealth.org/_media/files/womens-health/patient-education/pregnancy-weeks-34-42-english.pdf>. Access in 27 Jan 2021
  • FEMINA. A fisioterapia pélvica melhora a dor genitopélvica/desordens da penetração?. 2017. Available on: <https://docs.bvsalud.org/biblioref/2020/02/1050721/femina-2017-453-187-192.pdf>. Access in 27 Jan 2021
  • BIBLIOTECA VIRTUAL EM SAÚDE. O que é cisto de Naboth?. Available on: <https://aps.bvs.br/aps/o-que-e-cisto-de-naboth/>. Access in 27 Jan 2021
  • SOCIEDADE PORTUGUESA DE GINECOLOGIA. REVISÃO DOS CONSENSOS EM INFECÇÕES VULVOVAGINAIS. 2012. Available on: <https://www.spginecologia.pt/uploads/revisao_dos_consensos_em_infeccoes_vulgovaginais.pdf>. Access in 27 Jan 2021
Medical review:
Dr. Sheila Sedicias
Gynecologist
Physician graduated in Mastology and Gynecology by UFPE in 2008 and member no. 17459 of CRM-PE, Brazil.