The causes of vaginal pain are as follows: 1. Vaginal pain in women of normal biological age may be caused by vaginal inflammation or vaginal trauma, or it may be caused by low endocrine hormone secretion, low vaginal discharge and dryness; 2. Vaginal pain in perimenopausal women may be caused by senile vaginal inflammation or hormonal changes. If the cause cannot be determined, you need to visit a gynecologist in time. After excluding the pain caused by vaginal inflammation, you can consider checking the hormone level. If the hormone level is low, it can be adjusted by estrogen medication to increase vaginal discharge, reduce dryness and relieve pain.