What Causes Genital Ulcers?

Clitoria Sexual Health Clinic, Pelvic Exam Center, Phetkasem 81, Bangkok
Friendly doctors, Home-like atmosphere, sex-positive and non-judgmental care.
What Causes Genital Ulcers?
What Causes Genital Ulcers?
Genital sores are a concerning symptom for many women, but many feel embarrassed about seeing a doctor.
Some cases begin with mild burning, itching, or small abrasions, while others may develop deep painful ulcers, pus, bleeding, or swollen lymph nodes.
What Causes Genital Ulcers?
1. Friction or Physical Injury
- Rough intercourse or vaginal dryness
- Scratching due to itching
- Shaving or waxing
- Tight clothing or trapped moisture
Usually appears as shallow abrasions causing burning during urination or walking.
2. Vaginal Yeast Infection or Fungal Infection Around the Groin
Candida infection can cause intense itching both inside and outside the vagina.
Common symptoms include thick white discharge resembling milk residue along with burning and itching.
Some patients may also develop fungal infection around the groin area, causing itchy rashes and scratching-related wounds.
3. Genital Herpes
Caused by Herpes simplex virus (HSV).
Usually begins with multiple small fluid-filled blisters that rupture into painful ulcers.
Some patients may also have fever, body aches, or burning during urination.
4. Syphilis
Early syphilis may present as a firm chancre a raised red ulcer with clear borders and usually no pain.
Many people do not notice it because the lesion may disappear on its own while the infection remains in the body.
5. Chancroid
A sexually transmitted bacterial infection.
Typically presents with very painful ulcers, irregular edges, pus, and swollen lymph nodes.
6. Allergic Reaction or Irritation
- Soap
- Perfume
- Sanitary pads
- Condoms
- Certain lubricants
These may cause inflammation, redness, itching, and skin breakdown.
When Should You See a Doctor Urgently?
- Severe pain or difficulty walking
- Blisters, pus, or bleeding
- Strong-smelling vaginal discharge
- Fever or swollen lymph nodes
- Ulcers not healing within 12 weeks
- History of STI risk exposure
Diagnosis of Female Genital Ulcers
Doctors will take a medical history, perform a physical exam, and evaluate the lesion characteristics.
Additional tests may include:
- Swab testing from ulcers or vaginal discharge
- Blood tests for syphilis and HIV
- Culture testing
Treatment for Genital Ulcers
What medicine should be used for genital sores? Treatment depends on the cause:
- Antiviral medication for herpes
- Antibiotics for syphilis or chancroid
- Antifungal medication for fungal infection
- Anti-inflammatory creams for allergic irritation
Avoid self-medicating without knowing the exact cause, as some medications may worsen symptoms or delay diagnosis.
Basic Self-Care for Genital Ulcers
- Wash gently with clean water
- Avoid scratching
- Avoid sexual activity until healed
- Wear breathable underwear
- Avoid harsh soaps, perfumes, or feminine sprays
Female Genital Ulcer Examination Services
- Pelvic exam and doctor consultation 1,390 THB
- 14-pathogen STI swab PCR panel 2,790 THB
- Syphilis screening blood test (VDRL) 490 THB
- Syphilis confirmatory blood test (TPHA) 890 THB
Consult the medical team at Clitoria Clinic, Phetkasem 81, Bangkok
Tel 081-116-3788
LINE OA : @dr.clitoria
Email : dr.clitoria@gmail.com
WhatsApp : 660811163788
Please check Google Map Before Booking : Location
Meta Description
What causes female genital ulcers? Learn about symptoms, diagnosis, and treatment for genital sores, including herpes, syphilis, fungal infection, and irritation, explained by gynecologists.
Keywords
female genital ulcer, genital sores, vaginal ulcer causes, herpes in women, syphilis in women, vaginal wound, vulvar ulcer, painful genital sore


