Vaginal Concerns: Hardness and Skin Changes Explained

Genital issues

The bottom end of the vaginal opening feels hard but is not painful or itchy.
There was a previous instance of tearing during intercourse, which has since healed, but there is still a wound in the area of the vaginal opening that has not healed and appears white on the surface.
I am concerned it might be genital warts.
It has been over two weeks, and there has been no spreading of the condition.
Additionally, there are some small patches in the perineal area that are different from the surrounding skin; they are not painful or itchy and do not protrude.

Ms. Li, 10~19 year old female. Ask Date: 2021/09/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to see a gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/09/22

More Info

When it comes to vaginal concerns, particularly regarding changes in skin texture and the presence of lesions, it is essential to approach the situation with a thorough understanding of potential causes and appropriate management strategies. Based on your description, it seems you are experiencing some hardness at the vaginal opening, along with a white patch that has not healed since a previous injury. Additionally, you mentioned the presence of small, flat areas in the perineal region that are not painful or itchy.

Firstly, the hardness you are feeling at the vaginal opening could be due to several factors. One possibility is scar tissue formation from the previous injury sustained during intercourse. Scar tissue can sometimes feel firmer or harder than the surrounding skin, and it may take time to soften and heal completely. If the area is not painful or itchy, this is generally a good sign, but it is still important to monitor it for any changes.

The white patch you described could be a sign of several conditions. One common cause of white patches in the genital area is lichen sclerosus, a chronic skin condition that can cause thinning and whitening of the skin. Another possibility is a yeast infection, which can also present with white patches, although these typically come with other symptoms such as itching or burning. Given your concern about potential sexually transmitted infections (STIs) like HPV (which can cause genital warts), it is crucial to have any persistent lesions evaluated by a healthcare professional. While you mentioned that the area has not spread, it is still advisable to seek medical advice for a definitive diagnosis.

The small, flat areas you noted in the perineal region could be benign skin variations or other dermatological conditions. Conditions such as seborrheic keratosis or even benign cysts can present as small, non-painful bumps on the skin. However, without a physical examination, it is challenging to determine the exact nature of these lesions.

In terms of management, if you are experiencing discomfort or if the lesions change in appearance, it is essential to consult a healthcare provider. They may recommend a physical examination and possibly a biopsy of the white patch to rule out any serious conditions. If it is determined that the lesions are benign, your doctor may suggest topical treatments to help with any irritation or discomfort.

In the meantime, maintaining good hygiene and avoiding irritants such as harsh soaps or scented products in the genital area can help promote healing. Additionally, using a gentle, unscented moisturizer may alleviate any dryness or discomfort.

In summary, while some changes in the vaginal area can be benign, it is crucial to have any persistent or concerning symptoms evaluated by a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options tailored to your specific situation. Remember, early intervention can often lead to better outcomes and peace of mind.

Similar Q&A

Managing Vaginal Discomfort and Skin Protection: A Guide for Women

I have been suffering from chronic constipation, and due to straining during bowel movements, I have developed gynecological issues. Although I have seen a doctor, my condition has not improved. The vaginal discharge causes itching, and while I can tolerate pain, the itching even...

Dr. Huang Jianxun reply Obstetrics and Gynecology
1. Based on your description, it may be a stubborn fungal infection in the perineal area. Please consult a gynecologist or dermatologist. 2. The issue of constipation should be addressed, and there are many methods available. Most clinical physicians across various specialties ...

Understanding Clitoral Hardness and Swelling: When to Seek Medical Help

Hello, I have noticed that my clitoris has suddenly become hard and slightly swollen over the past few days. It also hurts when I press on it. A few days ago, I experienced pain while urinating, but it stopped hurting later on. However, the clitoris remains swollen and hard, feel...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Vaginal infections can cause abnormal discharge, itching, fever, and lower abdominal pain, which are among the most common symptoms in women. The causes are varied, and treatment methods should be accompanied by comprehensive health education. It is recommended to consult a speci...

Understanding Lower Abdominal Discomfort: Possible Causes and When to Seek Help

Itching in the vagina before and after menstruation is common, but recently experiencing some dull pain without any other symptoms, along with an increase in vaginal discharge, could indicate several possibilities. This may include conditions such as a yeast infection, bacterial ...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
1. What could this situation be? Answer: It is possible that the itching in the vagina before and after menstruation, along with an increase in vaginal discharge, may indicate vaginitis. 2. Will an internal examination be necessary during the consultation? Answer: Yes, an interna...

Understanding Gynecological Discomfort: Common Concerns and Next Steps

Hello doctor, I have been feeling some discomfort in my intimate area recently. It's not the discomfort associated with urination, but rather a localized discomfort that makes me wonder if I might be overly sensitive. I did some online research and found many potential cause...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Abnormal menstruation is primarily assessed through ultrasound examination. If there is no sexual activity but there are abnormal discharges or discomfort in the vulva, an initial examination of the vulva will be conducted, followed by a pregnancy test. Treatment recommend...