Vaginal Discomfort: Causes and When to See a Doctor

White discharge from the vaginal opening (dissemination)?

Hello, I noticed two days ago while showering that the skin down there is very itchy, and it appears red and swollen.
I feel something uncomfortable when walking and sitting, as if something is stuck inside.
Additionally, I checked the vaginal opening yesterday and the day before, and I saw a white object about the size of a red bean.
Today, it hurts even more, and there seems to be a bleeding sore on the inside, possibly from friction.
The white object at the vaginal opening has turned into a lump.
What could this be?! I have never engaged in sexual intercourse or similar activities.
Could you please help me understand this? Also, if I want to see a doctor, should I go to a gynecologist?

Lala, 10~19 year old female. Ask Date: 2016/07/24

Dr. Lin Wenbin reply Obstetrics and Gynecology

Please go to the outpatient clinic for an examination.

Reply Date: 2016/07/24

More Info

Vaginal discomfort can arise from a variety of causes, and it is important to understand the symptoms you are experiencing in order to determine the appropriate course of action. Based on your description, it sounds like you are experiencing significant itching, redness, swelling, and the presence of a white lump near the vaginal opening, which has become painful and is possibly bleeding. These symptoms can be indicative of several conditions, including infections, irritations, or other medical issues.

One common cause of vaginal discomfort is a yeast infection, which can lead to itching, redness, and a thick, white discharge. However, the presence of a lump and bleeding raises the possibility of other conditions, such as a Bartholin's cyst, which occurs when the glands located at the vaginal opening become blocked and can form a painful lump. Another possibility is a sexually transmitted infection (STI), even if you have not engaged in sexual activity, as some infections can be transmitted through non-penetrative sexual contact or from shared personal items.

Additionally, irritations from soaps, detergents, or hygiene products can cause allergic reactions or contact dermatitis, leading to similar symptoms. It is also important to consider that hormonal changes, such as those occurring during menstruation, can affect the vaginal environment and lead to discomfort.

Given the severity of your symptoms, particularly the pain and bleeding, it is crucial to seek medical attention promptly. Visiting a gynecologist or a healthcare provider specializing in women's health is advisable. They will be able to conduct a thorough examination, which may include a pelvic exam, and possibly take samples for laboratory testing to identify any infections or other underlying issues.

During your visit, be prepared to discuss your symptoms in detail, including when they started, any changes in discharge, and any other relevant medical history. This information will help the healthcare provider make an accurate diagnosis and recommend appropriate treatment. Treatment may involve antifungal medications for yeast infections, antibiotics for bacterial infections, or other therapies depending on the diagnosis.

In summary, while there are several potential causes for your symptoms, the presence of pain, swelling, and bleeding necessitates a professional evaluation. Do not hesitate to seek medical care, as early intervention can lead to better outcomes and relief from your discomfort. Remember, your health is a priority, and addressing these symptoms with a healthcare provider is the best course of action.

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