Vaginal Bulges: Is It Normal or a Cause for Concern? - Obstetrics and Gynecology

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Vaginal vestibule polyp


Hello Dr.
Tsao: I noticed while looking in the mirror that the vaginal opening is obstructed by a fleshy mass (it occupies almost the entire middle of the vagina, making it impossible to see inside).
I suspect it might be the hymen, but after researching online, I found that it looks completely different from the images I found (it feels like a thick fleshy mass).
I would like to know if this is normal.
My body has no abnormalities, and I have never engaged in sexual intercourse.
Thank you very much for taking the time to respond!

A, 10~19 year old female. Ask Date: 2021/06/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to visit an obstetrician-gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/06/04

More Info


When it comes to concerns regarding vaginal bulges or any unusual growths in the genital area, it is essential to approach the situation with a clear understanding of anatomy and potential medical conditions. Based on your description of a "meatball" or bulge obstructing the vaginal opening, it is important to consider several factors.

Firstly, the vaginal anatomy includes various structures, such as the hymen, vaginal walls, and surrounding tissues. The hymen is a thin membrane that partially covers the vaginal opening in some individuals, and its appearance can vary widely. In some cases, the hymen can appear thick or fleshy, especially if it has not been stretched or torn through sexual activity or other forms of physical activity. However, if you have never engaged in sexual intercourse, it is unlikely that the bulge you are observing is solely the hymen.

Another possibility to consider is the presence of a vaginal cyst or a benign growth. Conditions such as Bartholin's cysts, which occur when the Bartholin glands (located at the 4 o'clock and 8 o'clock positions of the vaginal opening) become blocked, can lead to swelling or bulging in the area. These cysts are typically painless unless they become infected. Other benign growths, such as fibromas or lipomas, can also present as bulges in the vaginal area.

It is also important to rule out any potential infections or inflammatory conditions that could cause swelling or abnormal growths. For example, vulvovaginitis, which is an inflammation of the vulva and vagina, can lead to swelling and discomfort. This condition can be caused by various factors, including infections (bacterial, yeast, or sexually transmitted infections), irritants (such as soaps or hygiene products), or allergies.

Given that you have not experienced any other symptoms such as pain, itching, or unusual discharge, it may be less likely that you are dealing with an infection. However, it is crucial to monitor any changes in the bulge, such as increased size, pain, or the development of other symptoms.

In conclusion, while some variations in vaginal anatomy can be normal, any significant changes or concerns about unusual growths should be evaluated by a healthcare professional. A gynecologist can perform a thorough examination to determine the nature of the bulge and whether any treatment or further investigation is necessary. It is always better to err on the side of caution and seek medical advice when it comes to your health. Remember, open communication with your healthcare provider about your concerns is vital for your peace of mind and overall well-being.

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