Occasional Pain in the Vaginal Area: Causes and Concerns

There is occasional pain in the genital area?

Hello doctor, my question is that sometimes when I sit (with my knees together and pulled to my chest), I experience pain in the genital area (around the internal urethra or vagina, not on the surface).
It feels somewhat like a tearing pain, but it's not very intense—just that sensation.
Today, I noticed a little bit of blood when I took off my underwear, but I'm not sure if it's leftover from my menstrual period or something else (my period just ended yesterday, and I'm not sure if it was completely finished).
If it's leftover from my period, why would there be pain inside the genital area? If it's not leftover, what could it be? Could it be a tear in the hymen? Do I need to go to the hospital for an examination? Thank you.

Nìmíng, 10~19 year old female. Ask Date: 2018/05/19

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Sometimes when sitting (with knees together and pulled towards the chest), there is a pain in the genital area (likely in the internal region of the urethra or vagina, not on the surface) that feels somewhat like a tearing sensation.
It's not very painful, just that kind of feeling.
Today, I noticed a little blood when I took off my underwear, but I'm not sure if it's leftover from my menstrual period or something else (my period just ended yesterday, and I'm unsure if it was completely finished).
If it's leftover menstrual blood, why would there be pain in the internal genital area? If it's not leftover, what could it be? Is it a tear of the hymen? Do I need to go to the hospital for an examination?
Answer: It is not a tear of the hymen; it is just a small amount of leftover menstrual blood.
There is no need to go to the hospital for an examination.

Reply Date: 2018/05/19

More Info

Understanding occasional pain in the vaginal area can be concerning, especially when accompanied by unusual symptoms such as spotting or discomfort during certain positions. Based on your description, there are several potential causes for the pain you are experiencing, and it is important to consider these in the context of your overall health.

Firstly, the pain you feel in the vaginal area, particularly when sitting in a specific position, could be attributed to several factors. One possibility is that it may be related to muscle tension or pelvic floor dysfunction. The pelvic floor muscles can become tight or strained, leading to discomfort, especially in certain positions. This can sometimes feel like a tearing sensation, particularly if there is pressure on the pelvic region.

Another consideration is the possibility of hormonal changes associated with your menstrual cycle. Since you mentioned that your period just ended, it is possible that residual hormonal fluctuations could be contributing to your discomfort. Hormonal changes can affect the vaginal tissues, making them more sensitive or prone to irritation. This sensitivity could explain the pain you feel, especially if you are sitting in a position that puts pressure on the area.

The presence of blood spots can also be indicative of several conditions. If the blood is indeed from your menstrual cycle, it could be remnants of your period. However, if you are certain that your period has ended, it is essential to consider other causes. Spotting can occur due to ovulation, hormonal imbalances, or even minor vaginal tears, especially if there has been recent sexual activity or vigorous physical activity.

Regarding your concern about the hymen, it is important to note that while the hymen can stretch or tear during sexual activity or certain physical activities, it is not typically a source of pain unless there has been significant trauma. If you have not engaged in any activities that would cause such trauma, it is less likely that the pain is related to the hymen.

Given the complexity of the symptoms you are experiencing, it is advisable to consult with a healthcare provider for a thorough evaluation. A gynecological examination can help determine the underlying cause of your pain and any associated symptoms. Your doctor may perform a pelvic exam to check for signs of infection, inflammation, or other abnormalities. They may also ask about your medical history, sexual activity, and any other symptoms you may have experienced.

In summary, occasional pain in the vaginal area can arise from various factors, including muscle tension, hormonal changes, or minor injuries. Spotting after your period can be normal, but if it persists or is accompanied by significant pain, it is crucial to seek medical attention. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options to alleviate your symptoms and address any underlying issues. Remember, it is always better to err on the side of caution when it comes to your health, so do not hesitate to reach out for help.

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