Could Frequent Urination Indicate a Vaginal Tumor? the Risks - Obstetrics and Gynecology

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Frequent urination may be a symptom of a tumor in the vagina?


Hello Doctor, I have noticed for a long time that I often need to use the restroom and I hesitate to drink too much water or beverages (drinking a large cup of bubble tea might make me need to go to the bathroom three times in a short period).
Sometimes I suddenly feel the urge to urinate, and occasionally when I sneeze or cough, I might accidentally leak a little.
Recently, after catching a cold and drinking more water, I found that I seem to want to go to the bathroom frequently, and it feels worse.
I just went to the bathroom five minutes ago and still managed to urinate, although it’s not much and the flow isn’t fast.
I can go over ten times a day, but when I’m busy or at work, the urge feels less intense.
At night, even though I keep going to the bathroom before bed, I can sleep through the night without waking up due to urgency.
The urine looks normal, and there’s no blood in it, and urination doesn’t hurt.
I’ve seen a doctor before for frequent urination, but aside from polycystic ovary syndrome, nothing else was found.
Recently, since the frequent urination seems to have worsened, I’m worried it might be a serious illness.
I read online that it could be gynecological cancer, and I’m really scared.
I sometimes have irregular menstrual cycles and previously worried it might be cancer, but the doctor said it was just hormonal imbalance.
Medication to regulate my cycle has been effective, but since I have no sexual experience, no doctor is willing to perform a pelvic exam.
Abdominal ultrasounds have always been normal, and the doctor said my polycystic ovary syndrome has improved a lot.
However, I found online that tumors in the vagina or cervix could also cause pressure on the bladder, leading to frequent urination.
So, I’m extremely worried that there might be a tumor pressing on my bladder, making me feel like I need to go to the bathroom, but since I haven’t had sexual intercourse, I can’t get a pelvic exam to check.
Although the doctor said the likelihood of having a tumor is very low without sexual experience, I’m still very concerned about the possibility of cancer or a mass in the vagina.
I apologize for the lengthy message, but I’m really worried—worried to the point that I can’t sleep and keep running to the bathroom, creating a vicious cycle.
I wonder if there are any other ways to check.
Thank you very much, Doctor!!! P.S.
Assuming I’ve had this issue for 7.8 years, if it were indeed cancer and went undetected, I probably wouldn’t be here now, right? Does that mean it’s likely not cancer? Thank you for reading...
Wishing you and your family peace and health :)

Classmate C, 20~29 year old female. Ask Date: 2022/09/17

Dr. Lin Xinwang reply Obstetrics and Gynecology


Hello, Student C: If there is a tumor in the vagina, it may compress the urethra, leading to difficulty in urination and resulting in frequent urination.
The more common causes of frequent urination are urinary tract infections or overactive bladder.
It is advisable to consult a urogynecologist.

Reply Date: 2022/09/17

More Info


Frequent urination can indeed be a concerning symptom, and it's understandable that you're feeling anxious about it. While it’s important to consider various potential causes, including the possibility of a vaginal tumor, it’s crucial to approach this situation with a clear understanding of the risks and the appropriate steps to take.

Firstly, frequent urination can be caused by a variety of factors, including urinary tract infections (UTIs), bladder irritability, hormonal changes, and even psychological factors such as anxiety. In your case, since you have a history of polycystic ovary syndrome (PCOS) and hormonal imbalances, these could be contributing to your symptoms. Hormonal fluctuations can lead to changes in bladder function and urinary frequency.

Regarding the concern about a vaginal tumor or any malignancy, it’s important to note that while tumors can cause pressure on the bladder, leading to increased urinary frequency, they are not the most common cause of such symptoms, especially in younger individuals. The likelihood of a tumor being the cause of your frequent urination is relatively low, particularly given your age and the absence of other alarming symptoms such as blood in the urine, significant weight loss, or severe pain.

You mentioned that you have not had sexual intercourse, which further reduces the likelihood of certain gynecological issues, including some types of tumors. However, it’s still essential to have a thorough evaluation. If you have not undergone a pelvic examination, it may be beneficial to discuss this with your healthcare provider. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the reproductive organs and bladder.

In terms of the risks associated with potential tumors, early detection is key. If there were a significant concern about a malignancy, it would typically present with additional symptoms over time. Your mention of having this issue for several years without significant changes or alarming symptoms is reassuring. It’s also worth noting that many benign conditions can mimic the symptoms of more serious diseases.

To address your anxiety, consider the following steps:
1. Consult a Specialist: If you haven’t already, consider seeing a gynecologist or a urologist who can provide a more specialized evaluation of your symptoms. They can perform necessary examinations and tests to rule out any serious conditions.

2. Keep a Symptom Diary: Documenting your urinary patterns, fluid intake, and any other symptoms can help your doctor understand your situation better and guide their evaluation.

3. Manage Anxiety: Since anxiety can exacerbate physical symptoms, consider speaking with a mental health professional. They can help you develop coping strategies to manage your fears and reduce the cycle of anxiety and frequent urination.

4. Follow-Up: Regular follow-ups with your healthcare provider can help monitor your symptoms and ensure that any changes are addressed promptly.

In conclusion, while it’s natural to worry about serious conditions like cancer, the likelihood of such a diagnosis is low given your history and symptoms. Engaging with healthcare professionals for a thorough evaluation and maintaining open communication about your concerns will be the best approach to alleviate your fears and address your symptoms effectively. Remember, early intervention and proper management can lead to better outcomes, so don’t hesitate to seek the care you need.

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