Vaginal Growths During Pregnancy: What You Need to Know

Growths in the vagina?

Currently, at 35 weeks pregnant, there is a growth in the vagina that appears to have a blister-like surface and feels like fish eggs when touched.
There are also small, tongue-like projections around the growth.
What could this be?

Tangguo, 30~39 year old female. Ask Date: 2022/01/18

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, if those tissues are not causing any specific symptoms, you can observe them for now.
If symptoms do occur, a physician's internal examination will be necessary for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/01/18

More Info

During pregnancy, various physiological and hormonal changes can lead to the development of growths in the vaginal area. The description of a "meatball" with a bubbly surface and surrounding "tongue-like" projections raises concerns about a few potential conditions, most notably vaginal polyps, cysts, or even a type of benign tumor known as a fibroma.
Vaginal polyps are typically benign growths that can occur due to hormonal changes, especially during pregnancy when estrogen levels are elevated. They can appear as small, fleshy protrusions and may have a smooth or bumpy surface. Cysts, such as Bartholin's cysts, can also develop in the vaginal area and may feel like a soft lump. These cysts form when the glands that lubricate the vagina become blocked.

The presence of "tongue-like" projections could suggest the presence of multiple smaller growths or a more complex structure, which might be indicative of a condition like condylomata acuminata (genital warts), which are caused by the human papillomavirus (HPV). However, these typically have a different texture and appearance than what you described.

It is essential to differentiate between these conditions, as they can have different implications for your health and the health of your baby. While most vaginal growths during pregnancy are benign and do not pose a significant risk, some may require monitoring or treatment, especially if they cause discomfort or other symptoms.

Given that you are currently 35 weeks pregnant, it is crucial to consult with your obstetrician or a healthcare provider specializing in maternal-fetal medicine. They can perform a thorough examination, possibly including a pelvic exam and imaging studies if necessary, to determine the nature of the growth.
In most cases, if the growth is benign and not causing any complications, your doctor may recommend monitoring it until after delivery. However, if there are any signs of infection, significant discomfort, or if the growth appears suspicious, further evaluation may be warranted.
Additionally, it is important to maintain regular prenatal care and report any new symptoms, such as bleeding, pain, or changes in discharge, as these could indicate complications that need to be addressed promptly.

In summary, while vaginal growths during pregnancy can be concerning, many are benign and manageable. The best course of action is to seek medical advice from your healthcare provider, who can provide a proper diagnosis and recommend the appropriate management based on your individual situation.

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