Vaginal Bumps: Causes, Concerns, and Fertility Issues

There are granular foreign objects at the vaginal opening?

Doctor, I have a couple of questions:
1.
About two months ago, I noticed a lump on the left side near my vaginal opening that occasionally itches.
I initially thought it was caused by heat and would go away, but it hasn't changed or disappeared.
I'm worried that I might have an infection! (I have a regular sexual partner and we do not use condoms.)
2.
I have never been pregnant and have previously checked for any blockages in my fallopian tubes, which were clear.
I want to get pregnant but have been unable to.
What tests should I undergo? Are they expensive? (In the past, I was in a relationship for over ten years without using contraception and did not get pregnant.
Currently, I've been with my partner for about a year and a half, and we also haven't used contraception, but it seems like we can't conceive.)

Yi Yi, 30~39 year old female. Ask Date: 2016/03/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, there are some lumps near the vaginal opening.
Regarding infertility issues for both partners, it is recommended to see a gynecologist for examination.
Wishing you good health.

Reply Date: 2016/03/22

More Info

Understanding vaginal bumps and their implications can be quite concerning, especially when considering fertility issues. Based on your description, it seems you are experiencing some unusual symptoms around the vaginal area, which could be indicative of several conditions. Let's break down your concerns into two main areas: the bumps and their potential causes, and your fertility issues.

1. Understanding the Bumps
The presence of bumps near the vaginal opening, especially if they are itchy and persistent, can be caused by various factors. Some common causes include:
- Viral Infections: Conditions like genital herpes, caused by the herpes simplex virus (HSV), can lead to the formation of painful blisters or bumps. While you mentioned that the bumps have not changed, it's important to note that herpes can sometimes present with mild symptoms or even be asymptomatic.

- Folliculitis: This is an inflammation of hair follicles that can occur in the genital area, often due to irritation or infection. It can cause small, red bumps that may itch.

- Bartholin's Cyst: If a Bartholin's gland becomes blocked, it can lead to a cyst, which may present as a lump near the vaginal opening. These cysts can sometimes become infected, leading to pain and discomfort.

- Warts: Genital warts, caused by certain strains of the human papillomavirus (HPV), can also appear as bumps in the genital area.

Given that you have a consistent sexual partner and do not use condoms, it is crucial to consider sexually transmitted infections (STIs) as a potential cause of your symptoms. It is advisable to consult a healthcare provider for a thorough examination and possibly tests to determine the exact cause of the bumps.

2. Fertility Concerns
Regarding your fertility issues, it is understandable to feel anxious, especially given your history of trying to conceive without success. Here are some considerations and steps you can take:
- Comprehensive Fertility Evaluation: Since you have already had tests for tubal patency, it may be beneficial to undergo a more comprehensive fertility evaluation. This can include hormone level testing, semen analysis for your partner, and possibly imaging studies like an ultrasound to assess ovarian reserve and uterine health.

- Timing and Frequency of Intercourse: Ensure that you are timing intercourse around ovulation, which is typically around 14 days before your next period. Tracking ovulation through methods like basal body temperature or ovulation predictor kits can be helpful.

- Lifestyle Factors: Factors such as weight, diet, exercise, and stress can significantly impact fertility. Maintaining a healthy lifestyle can improve your chances of conception.

- Consulting a Fertility Specialist: If you have been trying to conceive for over a year without success (or six months if you are over 35), it may be time to consult a fertility specialist. They can provide tailored advice and treatment options, which may include assisted reproductive technologies if necessary.

Cost Considerations
The cost of fertility evaluations and treatments can vary widely depending on your location and the specific tests or procedures required. Basic tests like blood work and semen analysis are generally more affordable, while advanced treatments like in vitro fertilization (IVF) can be significantly more expensive. Many clinics offer payment plans or financing options, so it’s worth discussing these with your healthcare provider.

Conclusion
In summary, the bumps you are experiencing could be due to various causes, including infections or cysts, and it is essential to seek medical advice for proper diagnosis and treatment. Regarding fertility, a comprehensive evaluation and lifestyle adjustments may help improve your chances of conception. Don't hesitate to reach out to a healthcare provider for personalized guidance and support. Your health and peace of mind are paramount, and addressing these concerns with a professional can lead to better outcomes.

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