Labial Granules: What You Need to Know About Your Symptoms

Granules found after spreading the labia majora?

Hello doctor, after opening the labia majora, the labia minora and vaginal opening feel grainy.
The left side of the labia minora has a whole row of grainy texture, lined up.
The grains near the vaginal opening are colored, being white in color, with a small quantity, about 1-3 grains, and they are painless and itch-free.
The vaginal opening appears flesh-colored and slightly swollen; previously, it felt smooth without any cracks, but recently there are fissures.
After researching online, it seems to be referred to as a circumferential hymen.
May I ask if the white grains on the labia minora are a concern? Is it normal for the circumferential hymen to feel fissured? I have a steady partner and use protection.
I also maintain hygiene for my intimate area.

Niming, 20~29 year old female. Ask Date: 2017/09/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology

After opening the labia majora, the labia minora and vaginal opening feel grainy.
The left side of the labia minora has a whole row of grainy texture, lined up.
The grains near the vaginal opening are colored, being white grains, with a small quantity of 1-3, and are painless and itch-free.
The vaginal opening is flesh-colored and slightly swollen; previously it felt smooth without any cracks, but recently there are fissures.
After researching online, it seems to be called a circumferential hymen.
May I ask you, 1.
Are the white grains on the labia minora a cause for concern? Answer: A visual examination is needed to determine if there is an issue.
2.
Is it normal for the circumferential hymen to have fissures? Answer: A circumferential hymen with fissures is normal.
PS: There is a steady partner, safe practices are followed, and intimate hygiene is maintained.

Reply Date: 2017/09/09

More Info

Labial granules, often referred to as "Fordyce spots," are small, painless, pale bumps that can appear on the labia and other areas of the genital region. They are sebaceous glands that are not associated with any disease or infection. These granules are quite common and are considered a normal anatomical variation. The presence of these granules, especially if they are asymptomatic (not causing pain, itching, or discomfort), is generally not a cause for concern.

In your case, the description of white granules on the left side of the labia minora, along with the presence of a few colorless bumps near the vaginal opening, aligns with the characteristics of Fordyce spots. The fact that they are few in number and do not cause any discomfort is a reassuring sign. However, it is essential to differentiate these from other potential conditions, such as cysts or sexually transmitted infections (STIs), which may require medical evaluation.

Regarding the "ring-like hymen" you mentioned, it is important to understand that the hymen can vary significantly among individuals. Some women may have a more pronounced or irregular hymenal structure, which can include small tears or fissures. The presence of a small tear or crack in the hymen can occur due to various reasons, including physical activity, tampon use, or sexual intercourse. If the area is not painful and there are no signs of infection (such as unusual discharge, odor, or significant swelling), it is likely within the range of normal variations.

However, if you notice any changes in symptoms, such as increased pain, unusual discharge, or any other concerning signs, it is advisable to consult a healthcare professional for a thorough examination. Regular gynecological check-ups are essential for maintaining reproductive health and addressing any concerns you may have.

In summary, the white granules you are experiencing on the labia minora are likely Fordyce spots, which are benign and common. The small tear in the hymen may also be normal, especially if it is not associated with pain or other symptoms. Maintaining good hygiene and monitoring any changes in your symptoms is crucial. If you have any doubts or if your symptoms change, seeking medical advice is always the best course of action.

Similar Q&A

Understanding Oral Granules: When to See an ENT or Dentist

Hello doctor, for the past few days, I have felt many small, bump-like objects on the inner sides of my lips and tongue. They are not painful to the touch, and visually they appear slightly raised without any obvious blisters. What could be causing this issue? Should I consult a ...

Dr. Zheng Jueyi reply Otolaryngology
Hello: The common issue may be related to the small salivary glands in the oral cavity. If you are concerned, you can visit an otolaryngology or dental clinic for confirmation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryng...

Understanding Upper Lip Frenulum Issues: Causes and Symptoms

Hello Dr. Tseng: Recently, I noticed a growth on my upper lip frenulum that appears to be a possible granuloma or pustule (approximately 0.1mm in size and white in color). Brushing that area causes pain and discomfort. I would like to ask Dr. Tseng what might be the cause of thes...

Dr. Zeng Guanghui reply Dentistry
It is likely that the frictional irritation of the labial frenulum has caused tissue inflammation and hyperplasia. It is recommended to consult a dentist for further evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Understanding Submandibular Granulomas: When to Seek Medical Attention

Hello Dr. Cheng, I have noticed symmetrical granulation tissue growing under my tongue over the past three months, and I feel a grainy sensation on my tongue when I use my teeth, as shown in the attached image: http://imgur.com/AesmqWO. I am unsure if this requires medical attent...

Dr. Zheng Jueyi reply Otolaryngology
Hello: Based on the image, it appears to be a symmetrical swelling, likely normal salivary gland tissue. It is recommended to drink plenty of water. If it continues to enlarge or develops ulcers, a medical examination is necessary to confirm the diagnosis. Wishing you safety and ...

Understanding Tongue Granules: Causes and Concerns for Oral Health

In the past two months, my tongue has been feeling uncomfortable, and I always feel that the sides of my tongue are very rough. Could this be a viral infection? It has been ongoing for two to three months. I do not smoke or drink alcohol, and my diet is light, but I don't un...

Dr. Lin Jiayong reply Dentistry
Hello, oral mucosal issues are quite diverse. Since you mentioned having a fungal infection on your skin that has persisted for two to three months, if you are concerned about a possible infection in your tongue as well, I recommend that you visit the oral diagnostic department o...