Vaginal Discomfort: When to Seek Gynecological Help

I'm not sure if this is normal?

Recently, during the last two sexual encounters, I felt it was very difficult to penetrate, as if something was blocking the way (I never felt this obstruction before).
I experienced pain both during and after intercourse.
Today, when I examined myself, I noticed that the vaginal opening seems to have a growth (not the hymen, as the hymen is surrounding this growth).
When I inserted my fingers, I felt some small, grainy structures.
I hadn't paid much attention before, so I'm not sure if they have always looked similar, and there are no unusual protrusions.
Could this situation possibly be genital warts? Last week, I felt a particular itch in my vulva, and there was some white discharge on my underwear, but this week the situation has improved.
Or could it just be vaginitis? Should I see a gynecologist for an examination? Thank you, doctor, for taking the time to respond!

QQ, 20~29 year old female. Ask Date: 2019/09/05

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you feel small lumps when you insert your hand into the vagina and experience pain during and after sexual intercourse, it is advisable to see a gynecologist to determine the underlying issue.
Wishing you good health.

Reply Date: 2019/09/05

More Info

When it comes to vaginal discomfort, especially in the context of sexual activity, it is essential to approach the situation with care and awareness. Your recent experiences of difficulty during intercourse, pain, and the discovery of unusual textures or growths around the vaginal opening warrant a thorough evaluation by a gynecologist.
From your description, it sounds like you may be experiencing a combination of symptoms that could be attributed to several potential causes. The sensation of obstruction during intercourse, along with pain both during and after, is not typical and should not be ignored. The presence of a lump or unusual texture around the vaginal opening, particularly if it feels like small bumps, could indicate a variety of conditions, including but not limited to benign growths, infections, or even sexually transmitted infections (STIs) such as genital warts (caused by the human papillomavirus, or HPV).

The itching and white discharge you mentioned could also suggest a yeast infection or bacterial vaginosis, both of which are common and can cause discomfort and changes in vaginal discharge. Yeast infections often present with itching, irritation, and a thick, white discharge, while bacterial vaginosis may lead to a fishy odor and a thin, grayish discharge.
Given that your symptoms have changed over time, with some improvement noted, it is still crucial to seek medical attention. A gynecologist can perform a physical examination, which may include a pelvic exam, to assess the vaginal area and identify any abnormalities. They may also take samples for laboratory testing to rule out infections or other conditions.

It is important to note that while some conditions may resolve on their own, others may require treatment to prevent complications or further discomfort. For example, if the bumps you feel are indeed genital warts, they can be treated effectively, but they will not go away without intervention. Similarly, if you have a yeast infection or bacterial vaginosis, appropriate antifungal or antibiotic treatment can alleviate your symptoms.

In addition to the physical examination, discussing your sexual history and any other symptoms you may be experiencing will provide your healthcare provider with a clearer picture of your situation. This information is vital for accurate diagnosis and treatment.

In summary, while some of your symptoms may suggest common issues like infections, the presence of unusual growths and persistent pain during intercourse necessitates a professional evaluation. Do not hesitate to schedule an appointment with a gynecologist, as they are best equipped to diagnose and treat conditions related to vaginal health. Early intervention can lead to better outcomes and help alleviate your discomfort, allowing you to enjoy a healthier sexual experience. Remember, your health and comfort are paramount, and seeking help is a proactive step towards maintaining your well-being.

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