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What Causes Genital Ulcers?

Last updated: 26 May 2026
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แผลที่อวัยวะเพศ อวัยวะเพศเป็นแผล, genital wound, genital ulcer

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


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