There are several potential causes of chronic vulvovaginal pain, which can often make diagnosis challenging. Some of the common causes include:
Chronic infections such as yeast or bacterial infections. Inflammatory conditions like lichen sclerosus or lichen planus. Nerve damage or irritation, sometimes caused by surgical procedures or trauma. Hormonal changes, particularly during menopause. Psychological factors such as stress and anxiety, which can exacerbate pain perceptions.
