Vaginal Anatomy: What to Do About Unidentified Bumps - Obstetrics and Gynecology

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Unable to locate the vaginal opening; there is a mass present?


I cannot find my vaginal opening and have not engaged in sexual intercourse.
My menstrual cycle is normal, and I can see during my period.
There is a small lump located at the very bottom of my genital area, between the urethra and the vaginal opening.
Is this normal?

Niming, 10~19 year old female. Ask Date: 2021/07/14

Dr. Wu Xianghui reply Obstetrics and Gynecology


It is recommended to visit the obstetrics and gynecology outpatient clinic for examination.

Reply Date: 2021/07/14

More Info


Understanding vaginal anatomy can be quite complex, especially for individuals who may not have had sexual intercourse or have limited experience with their own bodies. It’s important to approach this topic with sensitivity and an understanding that many people may feel uncertain or anxious about their anatomy.

Firstly, the vagina is a muscular canal that connects the external genitals to the uterus. The vaginal opening, or introitus, is located at the lower end of the vagina and is typically covered by a thin membrane called the hymen, which can vary greatly in appearance from person to person. The area surrounding the vaginal opening includes the labia majora and labia minora, which are folds of skin that protect the vaginal opening and urethra.

The presence of a bump or lump in the vaginal area can be concerning, but it is not uncommon. There are several benign conditions that can cause bumps in this area, including:
1. Bartholin's Gland Cysts: These are fluid-filled cysts that can develop when the Bartholin's glands, located at the 4 o'clock and 8 o'clock positions of the vaginal opening, become blocked. They can sometimes be felt as lumps and may cause discomfort if they become infected.

2. Sebaceous Cysts: These are small, non-cancerous lumps that can occur when the sebaceous glands become clogged. They are usually painless and can occur anywhere on the body, including the genital area.

3. Fibromas or Lipomas: These are benign tumors made of connective tissue or fat, respectively. They can appear as lumps and are generally harmless.

4. Warts or Other Growths: Genital warts, caused by the human papillomavirus (HPV), can also present as bumps. It’s important to have these evaluated by a healthcare provider.

5. Infections: Conditions such as herpes or other sexually transmitted infections can cause bumps or sores in the genital area.

Given that you mentioned you have not engaged in sexual intercourse, it is less likely that the bump is related to sexually transmitted infections, but it is still important to consider all possibilities.

If you are experiencing discomfort, pain, or if the bump changes in size or appearance, it is advisable to consult a healthcare provider for a thorough examination. They can provide a proper diagnosis and recommend treatment if necessary. It is also important to perform regular self-examinations to become familiar with your anatomy, as this can help you identify any changes more easily.

In terms of your menstrual cycle, the presence of a bump should not interfere with normal menstruation. However, if you notice any changes in your menstrual flow or experience additional symptoms such as unusual discharge, itching, or odor, it would be prudent to seek medical advice.

In conclusion, while the presence of a bump in the vaginal area can be concerning, many causes are benign. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed early on. Remember, it is always better to err on the side of caution when it comes to your health.

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