Vaginal burning can be an uncomfortable and sometimes alarming experience. The good news is that it’s usually manageable with the right approach. 

Whether it’s a minor irritation or something requiring medical treatment, knowing the causes and solutions can make all the difference. Let’s dive into what might be causing vaginal burning and, most importantly, how to stop it.

Causes of vaginal burning

Understanding the root cause of vaginal burning is the first step to finding relief. Here are some of the most common culprits:

  • Infections: Yeast infections (vaginal candidiasis), bacterial vaginosis (BV), and cytolytic vaginosis are frequent offenders. They’re often accompanied by other symptoms like unusual discharge and vaginal itching.
  • Irritation from products:  Contact dermatitis or an allergic reaction from chemical irritants such in soaps, douches, and laundry detergents can cause vaginal irritation and burning.
  • Hormonal changes: Reduced estrogen levels during menopause or breastfeeding can cause vaginal dryness and burning.
  • Skin conditions: Conditions like eczema, psoriasis, lichen planus, or lichen sclerosus can lead to vaginal irritation.
  • Sexually transmitted infections (STIs): Some STIs, like genital herpes or chlamydia, may also cause vaginal burning. 
  • Sex: Friction from penetrative sex can sometimes irritate the vaginal lining and create micro-tears in the vaginal walls, which can cause a burning or stinging sensation. 

Now that we’ve covered potential causes, let’s focus on the solutions to help you feel better fast.

Prescription solutions

  • Antifungal medications: For yeast infections, doctors often prescribe antifungal creams, suppositories, or oral tablets like fluconazole. These treatments usually work quickly, relieving symptoms within a few days.
  • Antibiotics: Bacterial infections (such as bacterial vaginosis and some STIs) may require antibiotics, either as pills or topical treatments. Always complete the prescribed course to ensure the infection is fully treated.
  • Hormone therapy: If dryness from menopause is the issue, estrogen creams or vaginal rings can help restore moisture and relieve irritation. These are typically safe and effective when used as directed by a healthcare provider.

Antiviral medications: If the burning is caused by genital herpes, antiviral medications like acyclovir or valacyclovir can manage symptoms, reduce the frequency of outbreaks, and minimize discomfort.

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Home remedies and over-the-counter options

If the burning sensation is mild or you’re waiting to see a doctor, try these home remedies and OTC solutions to ease the discomfort:

  • Cold compress: A clean, damp washcloth or an ice pack wrapped in a towel can immediately relieve vulvar burning. Apply it to the vulva for 10-15 minutes, repeating as needed throughout the day. 
  • Unscented moisturizers: Vaginal moisturizers or pure aloe vera gel (without added fragrances or alcohol) can soothe dryness and vaginal irritation. Use as often as needed to maintain comfort.
  • Sitz baths: Soak in a warm, shallow bath with a tablespoon of baking soda or plain Epsom salts. This can help reduce irritation, soothe inflamed tissue, and restore the natural pH balance of your vagina.
  • OTC creams: Evvy’s Soothing Vulva Cream is a gentle topical cream with prescription-grade hyaluronic acid, aloe, and vitamin E to relieve external burning (you shouldn’t apply it inside the vagina). 

How to prevent vaginal burning

  • Choose gentle products: Use unscented, hypoallergenic soaps, detergents, and menstrual products. Skip douches, scented wipes, or any products that could disrupt your vaginal balance.
  • Wear breathable fabrics: Cotton underwear and loose-fitting clothes allow air circulation, reducing irritation from sweat or heat. Avoid tight synthetic fabrics that can trap moisture.
  • Practice safe sex: Use condoms to protect against STIs, and consider water-based or silicone-based lubricants to avoid friction-related vaginal irritation. Ensure the lubricant is free from irritants like glycerin or parabens.
  • Stay dry: After swimming, exercising, or any activity that causes sweating, change out of a wet bathing suit or clothes promptly. Moist environments can encourage the growth of yeast like Candida.

If the burning is severe, persistent, or accompanied by other symptoms like fever, abnormal vaginal discharge, or pain, it’s time to consult a healthcare provider.

FAQ

How do I stop burning down there?

If you're experiencing burning in the vaginal area, the first step is to figure out what might be causing it. If it’s just a little irritation from something like a new soap or tight clothing, try switching to gentle, unscented products and wearing loose-fitting, breathable fabrics like cotton. If dryness is the issue — especially during menopause — vaginal moisturizers (like Evvy's Hyaluronic Acid Suppositories) or estrogen-based treatments from your doctor can be really helpful in restoring moisture. For infections such as bacterial vaginosis and yeast infections, your doctor will prescribe antibiotics or antifungals. In the meantime, if you need some relief from mild irritation or itching, consider using a cool compress, taking a sitz bath with baking soda, or applying Evvy's Soothing Vulva Cream. Staying hydrated and keeping up with good hygiene is also important, so be sure to avoid harsh products or douching, which can upset your vaginal balance. If the burning feels intense, doesn’t go away, or comes with any unusual discharge, pain, or other concerning symptoms, please reach out to a healthcare provider. 

What infections cause burning? 

Vaginal burning can be caused by several types of infections. Yeast infections, which occur when there is an overgrowth of Candida fungus, often lead to burning and itching, and a thick, white discharge. Bacterial vaginosis, caused by an imbalance of vaginal bacteria, can also cause a burning sensation accompanied by a strong fish-like odor and grayish vaginal discharge. STIs such as chlamydia, gonorrhea, genital herpes, and trichomoniasis can also cause burning, along with other symptoms like abnormal discharge, blisters, or pelvic pain. Each of these infections requires specific treatment, so it’s important to consult a healthcare provider for an accurate diagnosis and appropriate care.