5 symptoms of vaginal fissure and how to treat it

Vaginal fissure affects many women and is one of the main complaints of pain during sexual intercourse, among other symptoms. To talk more about it, gynecologist and obstetrician Dr. Ana Paula Mondragon (CRM 134071-SP), explained what it is, the causes, symptoms and indicated treatments. Follow the article!

What is a vaginal fissure

A vaginal fissure causes a lot of discomfort at the entrance to the vagina, especially during sex and when urinating. According to the gynecologist, “Vaginal fissures are small cuts similar to cracks that appear in the mucosa of the vulva or vagina. They usually occur during sexual intercourse and can have multiple causes.”

8 causes of vaginal fissure cited by the gynecologist

• Dermatological diseases such as lichen sclerosus;
• Sexual intercourse without lubrication;
• Friction of condoms with latex;
• Allergic reactions to products used for hygiene or during sex;
• Fungal infections often associated with candidiasis;
• Use of contraceptives, as it alters the concentration of estrogen leading to greater vaginal dryness;
• The reduction of the estrogen hormone causes loss of vaginal elasticity and also alteration of the vaginal flora predisposing to infections;
• Excessive alcohol consumption, smoking, poor diet and stress that alter estradiol levels.

Some measures such as avoiding the use of internal tampons, colored or scented toilet paper, as well as tight clothes can prevent the problem.

5 symptoms of a vaginal fissure to watch out for

Below, check out the main symptoms associated with vaginal fissure pointed out by the gynecologist:

• Pain at the entrance to the vagina: pain in this region is very common in cases of vaginal fissures and, according to the gynecologist, it can occur mainly during intercourse.
• Burning in the sexual act: Dr. Ana Paula reported that “the burning sensation in the vagina during sex is another very characteristic symptom of a vaginal fissure.” Discomfort can occur during or after sexual intercourse, being a very common nuisance in these cases.
• Redness in the vulva region: the gynecologist said that redness in the vulva region can occur in cases of fissures and can also be associated with fungal infections such as candidiasis.
• Pain during sex: Fissures are one of the main complaints of pain during sex and according to Dr. Ana Paula “the friction of latex condoms and the lack of lubrication can cause pain during sexual intercourse”. In addition, bleeding may still occur during intercourse.
• Burning when urinating: the doctor reported that the vaginal fissure can cause burning and burning during urination, due to lesions at the entrance of the vulva or vagina.

It is important to pay attention to symptoms and seek medical help as soon as possible to start treatment.

How is the treatment done?

Dr. Ana Paula explained that, although very uncomfortable, vaginal fissures can be treated and cured, but it is essential that the doctor evaluates and checks the cause to know the best way to treat them. But, normally, “treatment can be done with vaginal creams and laser to stimulate healing.” Check below 3 types of ointments commonly used to treat the problem:

• Corticosteroid: The gynecologist informed that “corticosteroid-based vaginal creams can be used to reduce inflammation”.
• Antifungals: in cases of lesions caused by fungi or infections, treatment can be done with antifungal vaginal creams.
• Antibiotics: Dr. Ana Paula explained that if the fissures present infection, the treatment can be done with ointments that contain antibiotics in their composition.

In addition, the gynecologist mentioned the importance of maintaining vaginal hygiene and always wearing cotton panties to let the region “breathe”. In this way, the proliferation of fungi is avoided.

Vaginal fissure vs vaginismus

According to the gynecologist, a vaginal fissure is an injury similar to a crack that occurs at the entrance to the vulva or vagina. Vaginismus is the involuntary contraction of the muscles of the vagina that makes penetration painful or sometimes impossible.

“A vaginal fissure, even after having the cause identified and treated, can be one of the causes of vaginismus, as the brain starts to relate penetration with something painful, even though the fissure no longer exists. In this case, the patient needs to undergo multidisciplinary treatment with a psychologist and physical therapist to improve the symptoms”, she oriented.

As seen, it is extremely important to take care of intimate health and when you notice any changes, immediately consult a gynecologist. In addition, prevention is always the best medicine, so periodically perform gynecological exams. Enjoy and learn more about bartholinitis, the causes and treatments of this disease that affects many women.

The information contained on this page is for informational purposes only. They do not replace the advice and follow-up of doctors, nutritionists, psychologists, physical education professionals and other specialists.