Normal Vaginal Anatomy: What Are Those Bumps? - Obstetrics and Gynecology

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Protrusion in the anterior vaginal wall?


Hello, doctor.
Recently, I used my fingers to explore my girlfriend's vagina and noticed some raised areas on the anterior wall (just a little inside the vaginal opening).
I'm not sure if they are distinct lumps, but my girlfriend says she feels no discomfort and that this has been the case for a long time.
I'm uncertain if this is what is referred to as folds.
Is this a normal occurrence? If it is normal, what are these structures? Thank you for your clarification, doctor.

Xiao Ming, 30~39 year old female. Ask Date: 2019/04/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology


When inserting a finger into my girlfriend's vagina, I noticed some protrusions on the anterior wall (approximately just inside the vaginal opening).
I'm not sure if they can be considered as distinct lumps, but my girlfriend says there is no discomfort and that this has been the case for a long time.
I'm uncertain if this is what is referred to as folds.
Is this normal? If it is normal, what are these structures? They are vaginal folds.

Reply Date: 2019/04/09

More Info


Understanding normal vaginal anatomy can sometimes be confusing, especially when it comes to the presence of bumps or protrusions. It's important to remember that the vaginal canal is a complex structure with various anatomical features that can vary significantly from person to person.
The bumps you are referring to at the anterior wall of the vagina, just inside the vaginal opening, are likely normal anatomical structures. The vagina is lined with mucous membranes that can create folds and ridges, known as rugae. These rugae allow the vagina to expand and accommodate different activities, such as sexual intercourse and childbirth. They can sometimes feel like small bumps or protrusions, especially when touched or examined.

In addition to the rugae, there are other normal anatomical features that can be present in the vagina. For example, the Skene's glands, which are located near the urethra, can sometimes be felt as small bumps. These glands are responsible for secreting fluid that helps lubricate the urethra and may contribute to sexual arousal. Similarly, the Bartholin's glands, located at the 4 o'clock and 8 o'clock positions of the vaginal opening, can also be palpated as small structures. These glands produce mucus that helps lubricate the vagina during sexual activity.

If your girlfriend has been experiencing no discomfort or pain and has noticed these bumps for a long time, it is likely that they are simply normal anatomical variations. However, it is essential to keep an eye on any changes in size, shape, or texture of these bumps, as well as any new symptoms such as pain, itching, or unusual discharge. If any of these changes occur, it would be advisable to consult a healthcare provider for a thorough examination.

In some cases, what may initially appear to be normal anatomical structures could be indicative of other conditions, such as cysts, fibromas, or even infections. For instance, a Bartholin's gland cyst can develop if the gland becomes blocked, leading to swelling and discomfort. Similarly, if there is any sign of infection, such as redness, swelling, or discharge, it is crucial to seek medical attention.

In conclusion, the presence of bumps in the vaginal canal, especially if they have been there for a while and are not causing any discomfort, is likely a normal anatomical feature. However, maintaining open communication with your partner about any changes or concerns regarding her vaginal health is essential. If there are any doubts or if either of you feels uneasy about the situation, it is always best to consult a healthcare professional for reassurance and guidance. Regular gynecological check-ups are also a good practice to ensure overall reproductive health and to address any concerns that may arise.

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