Normal Variations in Vulvar Texture and Sensation

Genital issues

Hello doctor, I have noticed some small bumps in the vulvar area while bathing.
I have been worried and have checked with a mirror, but I did not see any distinct white bumps or acne.
Although there are some slight bumps, they are similar in color to the surrounding perineal skin and do not appear particularly prominent or rough.
Is this normal? Are there typically some bumps in the perineal area?
Additionally, I have had frequent sexual intercourse with my boyfriend over the past three days, and since there was not much foreplay, I experienced slight pain the first time I urinated after intercourse, but it was fine afterward.
Today, when I checked with a mirror, I noticed that the inner sides of the labia minora appeared somewhat noticeably rough.
When I touch it, it feels like fine bumps, and the color seems to be the same as the inner skin, which is a reddish hue.
Is this normal? There is no itching, foul-smelling discharge, or any other symptoms.
Thank you.

Mi, 20~29 year old female. Ask Date: 2017/11/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
During bathing, I often feel a few granular sensations in the vulva.
I worry about it and check with a mirror, but when I examine it myself, I don't see any distinct white granules or pimples.
Although there are some granular appearances, they are similar in color to the perineal skin and do not stand out or feel particularly rough.
Is this normal? Ans: Yes, it is normal.
2.
Is it common to have some granules in the perineum? Ans: Yes, it is common to have some granules.
3.
In the past three days, I have had frequent sexual intercourse with my boyfriend.
Since there wasn't much foreplay, we went straight to penetration.
Afterward, I experienced slight pain the first time I urinated, but it was fine afterward.
Today, when I checked with a mirror, I noticed that the inner sides of the labia minora appeared somewhat noticeably rough and symmetrical.
When I touch it, it feels slightly granular, but the color is the same as the inner skin, which is a reddish hue.
Is this normal? Ans: A pelvic examination is necessary.

Reply Date: 2017/11/15

More Info

Understanding normal variations in vulvar texture and sensation is crucial for maintaining reproductive health and addressing any concerns that may arise. The vulva, which includes the external genitalia, can exhibit a range of textures and sensations that are entirely normal.
Firstly, it is common for individuals to notice small bumps or a textured feel in the vulvar area. These can be sebaceous glands, hair follicles, or normal variations in skin texture. The vulva is rich in glands that can produce small amounts of oil, which may contribute to a slightly bumpy texture. Additionally, the skin in this area can vary in thickness and texture, which is influenced by factors such as hormonal changes, age, and individual anatomy.

In your case, the presence of small, non-painful bumps that are similar in color to the surrounding skin and do not exhibit signs of infection (such as redness, swelling, or discharge) is likely a normal anatomical variation. The vulva can have a slightly rough texture, especially after sexual activity, due to increased blood flow and sensitivity in the area. This can lead to temporary changes in texture or sensation, which usually resolve on their own.

Regarding your experience of slight pain during urination after sexual activity, this could be attributed to friction or irritation, especially if there was little foreplay. The vulva and vaginal tissues can become sensitive, and without adequate lubrication, discomfort can occur. It is essential to ensure that adequate lubrication is used during sexual activity to minimize friction and potential irritation.

The observation of a rougher texture on the inner labia after sexual activity is also not uncommon. The inner labia can become engorged with blood during arousal, leading to temporary changes in appearance and texture. If the color remains consistent with the surrounding tissue and there are no accompanying symptoms such as itching, unusual discharge, or persistent pain, it is likely a normal response to sexual activity.

However, if you notice any changes that persist, worsen, or are accompanied by other symptoms, it is essential to consult a healthcare provider. They can perform a thorough examination and provide reassurance or treatment if necessary. Regular gynecological check-ups are also recommended to monitor your reproductive health and address any concerns you may have.

In summary, variations in vulvar texture and sensation are typically normal and can be influenced by various factors, including hormonal changes and sexual activity. If you have any ongoing concerns or experience new symptoms, seeking medical advice is always a prudent step to ensure your health and peace of mind.

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