Pain in the Labia: Causes and Solutions - Obstetrics and Gynecology

Pain in the labia minora?

Hello doctor, I often experience pain in my left labium after using the restroom and wiping with toilet paper.
Upon closer inspection, there doesn't seem to be any wounds, just some redness, and my left labium appears larger than the right.
I wonder if this could be due to friction, as I sometimes feel pain or a stinging sensation while walking, but it doesn't occur when I'm not exerting myself or walking.
Could this be caused by an infection, or is it simply due to friction or wiping too hard with toilet paper? What should I do about this? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/12/11

Dr. Huang Jianzhong reply Obstetrics and Gynecology

After using the restroom and wiping with toilet paper, I feel pain in my left labia minora, but upon closer inspection, there doesn't seem to be any wounds, just some redness.
Additionally, my left labia appears larger than the right; I wonder if this is causing friction.
Sometimes, I experience pain or a sharp sensation while walking, but it doesn't occur when I'm not exerting myself or walking.
Could this be caused by an infection, or is it simply due to friction or wiping too hard? What should I do?
Answer: It is normal for the left and right labia to differ in size.
The occasional sharp pain while walking may warrant a visit to a physician.

Reply Date: 2017/12/11

More Info

Understanding pain in the labia can be a complex issue, as it can stem from various causes ranging from minor irritations to more serious medical conditions. Based on your description, it seems that you are experiencing pain in the left labia after using the restroom, with no visible wounds but some redness and asymmetry in size. Let’s explore the potential causes and solutions for this discomfort.

Potential Causes
1. Irritation or Friction: One of the most common causes of labial pain is irritation from friction. This can occur from tight clothing, vigorous wiping with toilet paper, or even from sexual activity. If you are using rough toilet paper or wiping too aggressively, it can lead to redness and discomfort. The asymmetry you mentioned could also be a result of swelling due to irritation.

2. Infections: While you noted that there are no visible wounds, it’s still possible that an infection could be causing your symptoms. Conditions such as vulvovaginitis, yeast infections, or bacterial vaginosis can lead to inflammation and pain in the labial area. These infections can sometimes present with redness and swelling without obvious lesions.

3. Skin Conditions: Skin conditions such as eczema or contact dermatitis can also affect the labial area, leading to redness, swelling, and pain. If you have recently changed soaps, detergents, or personal care products, this could be a contributing factor.

4. Hormonal Changes: Hormonal fluctuations, particularly around menstruation, can lead to increased sensitivity and swelling in the labial area. This could explain why you are experiencing pain that seems to correlate with certain times of the month.

5. Allergic Reactions: Allergies to products such as soaps, lotions, or even laundry detergents can cause localized irritation and pain. If you have recently started using a new product, consider discontinuing it to see if your symptoms improve.

Solutions and Recommendations
1. Gentle Hygiene Practices: To minimize irritation, use soft, unscented toilet paper and avoid vigorous wiping. Consider using a bidet or gentle cleansing wipes designed for sensitive skin.
2. Wear Loose Clothing: Opt for loose-fitting underwear and clothing to reduce friction and allow the area to breathe. Cotton underwear is often recommended as it is breathable and less likely to cause irritation.

3. Avoid Irritants: Identify and avoid any potential irritants, including harsh soaps, scented products, and fabric softeners. If you suspect a product is causing irritation, stop using it and monitor your symptoms.

4. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and discomfort if the pain is due to irritation. However, it’s essential to consult with a healthcare provider before applying any topical treatments to sensitive areas.

5. Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as unusual discharge, itching, or fever, it’s crucial to seek medical advice. A healthcare provider can perform an examination to rule out infections or other underlying conditions and provide appropriate treatment.

6. Monitor Your Symptoms: Keep track of when the pain occurs and any associated activities or products. This information can be helpful for your healthcare provider in diagnosing the issue.

In conclusion, while your symptoms may be due to minor irritation, it’s essential to monitor them closely and consult with a healthcare professional if they persist or worsen. Proper hygiene, avoiding irritants, and wearing comfortable clothing can help alleviate discomfort. Always prioritize your health and well-being by seeking professional advice when needed.

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