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Doctors aren't sure. But they do know infections, such as sexually transmitted diseases, don't cause it.

Possible caues include:

It can affect women of any age. It can start when you're a teenager.

  • Nerve injury or irritation
  • Abnormal response to an infection or trauma
  • Genetic factors that make the vulva respond poorly to chronic inflammation
  • Hypersensitivity to yeast infections
  • Muscle spasms
  • Allergies or irritation to chemicals or other substances
  • Hormonal changes
  • History of sexual abuse
  • Frequent antibiotic use

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