If your vagina hurts or sex is painful, pelvic pain from problems like endometriosis or cystitis may be to blame. Here’s how to identify and treat your vagina or pelvic pain. Pain during pelvic exams, tampon use as well as pain and tearing during intercourse. Eventually my symptoms progressed to constant itching and burning in the vulva. a form of complementary and alternative medicine that involves inserting thin needles through the skin at specific points on the body to control pain and other symptoms.