Normal and Abnormal Vulvar Conditions: A Guide for Women

Genital issues

Hello doctor, recently during a self-examination of my perineum, I noticed a row of linearly arranged small bumps on the outer right side of my vulva.
They are the same color as the surrounding skin.
When I stretch the skin, I can feel the bumps, but the surface is smooth, showing small individual bumps that are not connected.
There is no unusual odor, no discharge, and no pain or itching; everything feels normal in the perineum.
Could this be abnormal? I haven't checked before, so I'm wondering if this could be normal or abnormal.

Chen, 20~29 year old female. Ask Date: 2017/11/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology

During a self-examination of the perineum, I noticed a row of linearly arranged small bumps on the outer right side of the vulva, which are the same color as the surrounding skin.
When I stretch the skin and touch it, I can feel the bumps, but the surface is smooth.
These bumps appear as small, separate entities that are not connected to each other.
There is no unusual odor, no discharge, and no pain or itching; everything else in the perineum feels normal.
I would like to know if this could be abnormal.

Answer: Normal.

Note: I had not previously checked for these features, so I wanted to inquire whether they might be normal or abnormal.

Reply Date: 2017/11/10

More Info

Understanding normal and abnormal vulvar conditions is essential for women's health, as it can help in identifying potential issues early on. Based on your description, it seems that you have noticed a row of small, bead-like structures on one side of your vulva. These structures are not painful, itchy, or associated with any unusual odor or discharge, which is a positive sign.

Firstly, it is important to note that the vulva is a complex structure with various normal anatomical features. The presence of small, bead-like structures could potentially be normal anatomical variations, such as sebaceous glands or hair follicles. Sebaceous glands are responsible for producing oil that keeps the skin moisturized, and they can sometimes appear as small bumps. Additionally, the skin of the vulva can have natural variations in texture and appearance, which may include small bumps or lines that are completely normal.

However, it is also crucial to differentiate between normal anatomical features and abnormal conditions. Some conditions that could cause similar symptoms include:
1. Fordyce Spots: These are small, painless, pale bumps that can appear on the vulva and are actually enlarged sebaceous glands. They are completely harmless and do not require treatment.

2. Pearly Penile Papules: While typically found on the penis, similar structures can appear on the vulva and are considered a normal variant.

3. Lichen Simplex Chronicus: This condition can cause thickened skin and may present as bumps, but it is usually associated with itching or irritation.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. They are typically associated with other symptoms, such as itching or discomfort.

5. Cysts: Bartholin's cysts or other types of cysts can form in the vulvar area, but they usually present with swelling or discomfort.

Given that you have no accompanying symptoms such as pain, itching, or unusual discharge, it is likely that what you are observing is a normal anatomical feature. However, it is always best to err on the side of caution when it comes to your health. If you have concerns about the appearance of your vulva or if there are any changes in symptoms, it is advisable to consult a healthcare professional for a thorough examination. A gynecologist can provide a definitive diagnosis and reassurance.

In summary, while the structures you are observing may be normal, it is essential to monitor any changes in your vulvar health. Regular self-examinations and being aware of your body can help you identify any potential issues early. If you notice any new symptoms or changes, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and a healthcare provider can help clarify any uncertainties you may have.

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