Vaginal pain, vaginal burning… This is quite common, more than we think. Specifically among women older than 45 years of age. Many women do not speak about it, but they do suffer from it. In case of vaginal pain, pain during intercourse or vaginal burning, it is obvious that the doctor or gynecologist needs to check for infection. However, many women are left with pain and burning sensations of which the cause cannot be found.
Vaginal pain, vaginal burning en squeezing sensations: a patient’s example
And here is the story of another woman who felt some restrain telling her story on Youtube:
She has been suffering from severe burning sensations and pain around the vulva, which feels like she is on fire.  Doctors call this vulvodynia.  She is 47 years old and has been suffering from these complaints for 3 years. The quality of her life has significantly decreased because of it.
The patient was treated with the body’s own pain relieving and anti-inflammatory substance palmitoylethanolamide, which has been available as PEA for general pain or as a PEA cream for topical treatment. The substance works through a unique mechanism that is based on the pain relieving and anti-inflammatory effect of a special receptor which is present in every cell nucleus.
Palmitoylethanolamide is safe to use as the body can easily utilize and break down this substance. There are no notable side effects and even seniors that take other types of medication can easily combine it without having to worry about negative effects. In our clinic we have treated hundreds of patients with this substance and the majority is very satisfied with the results.
After only 3 days of taking PEA the pain was already less intense. After 2 weeks the pain had decreased significantly. After taking the powder for the first 10 days, the patient has now been using the tablets of 600mg twice a day.
This substance has been tested in a large number of clinical studies and has been proven to have a positive effect time in time again, without any negative side effects.     
Example: pain during intercourse, vaginal burning and no diagnoses
Here is a real example, from the internet. By looking at different blogs and forums we can clearly see that vaginal burning is a very common and troublesome problem. Burning, itching and pain can all be present. 
Here is another example from the internet:
I’m 21 years old and have a big problem. The last 3 years I have been suffering from a lot of pain in the vagina. Specifically during urination I have a burning sensation that just won’t go away. It’s like I have urinary tract infection every day of my life, but that is not the case. After lots of examinations by different specialists I am desperate. It all started with a series of urinary tract infections 3 years ago.
I kept on being prescribed antibiotics, which solved the infections for a short while. However, the pain never really went away. The sensation of the infection stayed but the urine kept coming back clean from tests. The gynecologist performed a swab test several times to see what could be the cause. Apart from a yeast infection and a gardnerella bacteria these tests didn’t show anything. I have also visited different alternative therapists (homeopath, kinesiologist, acupuncture, magnotherapist, orthomolecular therapist) but nothing solved my problems.
I had a candida test done, which showed I had a yeast overgrowth in the gastrointestinal tract, and I kept a candida diet for 6 months (no sugar or yeast). Recently I have been to the urologist, who inserted a catheter in my urethra. This hurt so much and the pain was so intense that the test couldn’t be performed properly. The exam had to be proceeded under anesthetics and by cystoscopy. No abnormalities were found in the bladder (the doctor ruled out interstitial cystitis).
I think there is something wrong with my urethra. Also, the tissue inside in the vagina is very painful (it is possible to use a tampon, but this will start burning), however there is no doctor, who really listen to me. I have been suffering from this problem for 3 years and it still feels like a urinary tract infection.
I’m in pain on a daily basis and have not been able to have intercourse with my boyfriend for a couple of months now. The pain is largely taking over my life. My moods suffers from the condition and I feel nobody really understands me. I don’t know anyone who has a similar problem and it is really hard to talk to people about it.
The doctors thinks it is all in my mind but, I am convinced that it is not the case.
I would like to be in contact with people, who knows more about this subject and could help me, because I am desperate.
This is a typical example of a story where treatment with palmitoylethanolamide could be quite useful.
Very related to vaginal burning is the painful bladder syndrome or bladder pain syndrome.
Vaginal flora: a further introduction
Normal vaginal flora and immunity
The normal vaginal flora contains 108 microorganisms per ml. The composition can vary slightly but consists mainly out of lactobacillus, streptococcus, anaerobic bacteria (including Bacteroides fragilis), diphtheroid bacilli and sometimes coliform gram-negative bacilli.
The composition of the flora can vary due to hormones (cycle, birth control, carcinoma treatment), sexual activity and medication (antibiotics for example). During the reproductive phase the vaginal epithelium contains glycogen due to circulating hormones (estrogen). The colonizing lactobacillus convert glycogen in to lactate, which makes the environment quite acidic (approximately PH 4.5). This ensures that potential harmful bacteria have a harder time entering.
It is normal to have a certain quantity of vaginal discharge. However, as soon as the discharge differs from what is usual for a women, in terms of quantity, color and/or smell, whether in combination with itching or irritation in or around the vagina or not, we are talking about abnormal vaginal discharge. Abnormal discharge is one of the most common gynecological complaints at the doctor’s office. A cause is found for approximately two thirds of the cases of women with abnormal discharge. The drying of the vaginal wall during menopause (atrophy) can cause an infection (vaginitis).
Microorganisms that are not part of the normal flora can enter due to all sorts of causes. These either have to have specific qualities so they can attach themselves to the mucus membrane or use the tiny abrasions due to sexual intercourse or weakened immunity (tampons, hormonal imbalance).
Vaginal dysbacteriosis and abnormal vaginal discharge are very common and can lead to a lot of worry and feelings of shame. If vaginal discharge is due to an STD it can lead to infertility.
With certain tests the doctor can determine what is the cause of the vaginal discharge. Sometimes treatment with antibiotics is necessary. It could be that the partner also needs to be treated. Women with new symptoms can easily measure their own PH level using a PH strip.
Use of vaginal wash and general vaginal care tips
As was mentioned before, in a third of the cases no cause is found.
In this case advice and information about the natural cycles, hygiene (don’t wash with soap, only water, possibly special acidic soap (for example Sebamed® or Lactacyd®) occasionally acidify the vagina and penis with a gel (different brand like Bioclin®, Clearblue®, Replens®), no vaginal deodorant, no vaginal douche, wiping routine after toilet use, use of tampons (don’t keep them in too long), hygiene of partner), use cotton underwear, don’t overuse panty liners.
For women who experience dryness and vaginal burning, these tips could very effectively be complimented with the use of palmitoylethanolamide.