Chronic vaginal pain is defined as pain in the lower abdomen that is not related to menstruation (dysmenorrhea) or intercourse (dyspareunia) that has been present for at least 6 months.
Possible causes of symptoms include:
* Abnormal growth of endometrial cells (endometriosis).
* Uterine-lining cells (endometrial cells) in uterine muscle (adenomyosis).
* Noncancerous tumors of the uterus:
o Uterine fibroids.
o Endometrial polyps.
* Sexually transmitted diseases.
* Pelvic inflammatory disease.
* Scar tissue in the pelvis (adhesions).
* Ovarian cysts.
* Pelvic organ cancers:
o Cancer of the lining of the uterus (endometrial cancer).
o Cancer of the ovary.
o Cancer of the cervix or opening of the uterus.
o Cancer of the wall of the uterus (leiomyosarcoma).
* Abnormal structure of the uterus (uterine anomaly).
* Excessive growth of the lining of the uterus (endometrial hyperplasia).
* Problems effecting the urinary tract or bowel wall.
Abnormal menstrual periods
* Painful periods (dysmenorrhea)
* Some vaginal bleeding before the start of the menstrual period (premenstrual spotting)
Vaginal Pain
* Pelvic pain
* Severe menstrual cramps (dysmenorrhea)
* Low backache 1 or 2 days before the start of the menstrual period (or earlier), subsiding during the period
* Pain during sexual intercourse (dyspareunia)
* Painful urination
* Rectal pain
* Pain during bowel movements
Other (rare)
* Blood in the urine or stool
* Vaginal bleeding after intercourse
