Some women experience constant, generalized pain of the whole vulva area. Others have localized pain specific to one part of the vulva that may come and go. Vulvar pain may be triggered by sexual activity, tampon insertion or gynecological exams, or simply by wearing tight-fitting pants or sitting. Take note of what things make your pain better or worse and share this information with your health care professional, so he or she has a better sense of the location and intensity of your pain and how it impacts your overall and sexual health.