What Are the Granules Inside the Vagina? Symptoms and Concerns - Obstetrics and Gynecology

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What are the granules in the vagina?


Hello, doctor.
I've been experiencing vaginal dryness and itching in recent days.
I checked with a mirror and didn't notice any particular abnormalities, but I did notice a grainy texture inside the vagina (photo link: https://imgur.com/ClyI95g).
I would like to know if there is anything unusual.
What could these grains be? Thank you very much.

Ms. Chen, 20~29 year old female. Ask Date: 2020/04/23

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the vaginal wall appears to be normal.
If you still experience discomfort, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2020/04/23

More Info


When it comes to the presence of granules inside the vagina, it is essential to approach the situation with a clear understanding of normal vaginal anatomy and potential variations. The vagina is a complex structure with various tissues, secretions, and flora that can sometimes lead to the sensation of granules or lumps.
Firstly, it is important to note that the vagina is lined with mucous membranes that can produce secretions, which may sometimes appear as small granules or bumps. These can be normal anatomical features, such as the presence of Bartholin's glands, which are located at the vaginal opening and can sometimes become swollen or blocked, leading to the sensation of lumps. Additionally, the vaginal walls may have small folds or ridges that can feel like granules, especially if the area is dry or irritated.

The symptoms you describe—dryness and itching—can be indicative of several conditions. Vaginal dryness can occur due to hormonal changes, particularly during menopause, breastfeeding, or as a side effect of certain medications. It can also be caused by insufficient arousal or lubrication during sexual activity. This dryness can lead to irritation and itching, which may make you more aware of the vaginal texture and any normal anatomical features.

Another possibility to consider is the presence of a yeast infection or bacterial vaginosis, both of which can cause itching and discomfort. Yeast infections, in particular, can lead to the formation of small, white granules or clumps that may resemble curds. Bacterial vaginosis may present with a fishy odor and changes in discharge but can also cause irritation.

If you notice any unusual discharge, a strong odor, or if the symptoms persist, it is crucial to consult with a healthcare provider. They can perform a thorough examination, possibly including a pelvic exam, to determine the cause of your symptoms. They may also conduct tests to rule out infections or other conditions.

In summary, while the sensation of granules inside the vagina can be concerning, it is often related to normal anatomical features or conditions that can be treated effectively. It is always best to seek professional medical advice to ensure proper diagnosis and treatment. Remember, your health and comfort are paramount, and addressing any concerns with a healthcare provider is the best course of action.

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