Persistent Vaginal Bump: Should You Seek Medical Advice?

There is a protruding mass at the vaginal opening?

Hello, Doctor.
I have had a protruding mass at the vaginal opening since birth.
My mother consulted a doctor when I was born, and the doctor said it was normal and would retract as I grew older, so there was no need to worry.
However, I am now 18 years old, and the vaginal opening is still obstructed, preventing me from engaging in sexual intercourse.
My menstrual cycle is normal except for heavier bleeding.
I would like to know if I need to seek medical attention for a possible excision.
Thank you!

Are You, 10~19 year old female. Ask Date: 2019/05/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Since birth, there has been a protruding mass at the vaginal opening.
When I was born, my mother asked the doctor if it was normal, and the doctor replied that it would shrink back as I grew up, so there was no need to worry.
However, I am now 18 years old, and the vaginal opening is still obstructed, making sexual intercourse impossible.
My menstrual flow is heavier than normal, but everything else is fine.
I would like to ask the doctor if this requires a consultation for removal.
Answer: No need for a consultation for removal.

Reply Date: 2019/05/20

More Info

It sounds like you have been dealing with a persistent vaginal bump since birth, and now at 18 years old, it is still present and causing you concern. Given your description, it is important to consider a few factors regarding this bump and whether you should seek medical advice.

First, it is essential to understand what the bump could be. There are several possibilities for a bump at the vaginal opening, including but not limited to:
1. Hymenal Remnants: Sometimes, the hymen does not fully break down during puberty or sexual activity, leading to a condition known as a hymenal tag or hymenal remnant. This can appear as a bump and may obstruct the vaginal opening.

2. Bartholin's Gland Cyst: The Bartholin's glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst. These cysts can sometimes be painless but may cause discomfort or obstruction.

3. Fibromas or Lipomas: These are benign tumors that can develop in various tissues, including the vaginal area. They are usually harmless but can cause discomfort or obstructive symptoms.

4. Vaginal Polyps: These are growths that can occur in the vaginal canal and may require removal if they cause symptoms.

5. Congenital Anomalies: In some cases, there may be congenital conditions that lead to the formation of bumps or obstructions in the vaginal area.

Given that this bump has persisted into adulthood and is obstructing your ability to engage in sexual activity, it is advisable to seek medical evaluation. Here are some reasons why you should consider seeing a healthcare provider:
- Assessment of Symptoms: A healthcare provider can perform a physical examination to assess the bump and determine its nature. They can also evaluate any associated symptoms, such as pain, discomfort, or changes in menstrual flow.

- Potential Treatment Options: If the bump is causing significant issues, such as obstruction or pain, a healthcare provider can discuss potential treatment options, which may include surgical removal if necessary.

- Peace of Mind: Understanding what the bump is and whether it poses any health risks can alleviate anxiety and help you make informed decisions about your sexual health and overall well-being.

- Sexual Health: If you are considering becoming sexually active, it is crucial to address any anatomical issues that may interfere with sexual activity. A healthcare provider can guide you on how to proceed safely.

In conclusion, while the bump may have been deemed non-problematic in childhood, its persistence and the impact on your sexual health warrant a reevaluation. I recommend scheduling an appointment with a gynecologist or a healthcare provider specializing in women's health. They can provide a thorough examination, discuss your concerns, and help you determine the best course of action. Remember, your health and comfort are paramount, and seeking medical advice is a proactive step towards ensuring both.

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