Normal Variations in Vulvar Anatomy: What Are Those Bumps?

Genital issues

When I was showering and opened my labia to rinse, I noticed small, grain-like bumps on both sides of the outer labia.
Is this a normal occurrence?

Yiyi, 10~19 year old female. Ask Date: 2012/06/17

Dr. Liu Yuhong reply Obstetrics and Gynecology

"...there are small, grain-like structures on both sides of the outer labia..." The vulva, located on the inner side of the labia minora at the vaginal opening, may have a condition known as vulvar papillomatosis, which occurs in a small percentage of individuals (about 1%) and is considered normal.
However, not all grain-like protrusions on the vulva are indicative of this condition.
Human papillomavirus (HPV) infection of the vulva can also present with similar appearances in its early stages, and this is a disease that requires treatment.
There are various and diverse skin lesions of the vulva, and they can change over time.
It is recommended that if you have concerns about the appearance of the vulvar skin, you should visit a gynecologist for a direct examination by a physician to obtain an accurate diagnosis.

Reply Date: 2012/06/17

More Info

Understanding normal variations in vulvar anatomy is essential for recognizing what is typical and what may require further evaluation. The bumps you are observing on the outer sides of the labia (the folds of skin surrounding the vaginal opening) are likely normal anatomical structures.
The vulva is composed of various tissues, including skin, mucous membranes, and glands, and it can exhibit a range of normal variations. Here are some common explanations for the small bumps you might see:
1. Sebaceous Glands: These are small glands that produce oil (sebum) to keep the skin moisturized. They can appear as small, raised bumps and are completely normal.

2. Bartholin's Glands: Located at the 4 o'clock and 8 o'clock positions of the vaginal opening, these glands can sometimes be felt as small bumps. They secrete fluid that helps lubricate the vagina.

3. Follicular Structures: Hair follicles can also appear as small bumps, especially if there is hair growth in the area.
4. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands without hair follicles. They are common and harmless.

5. Cysts: Sometimes, small cysts can form in the vulvar area, such as epidermoid cysts or inclusion cysts. These are usually benign and may not require treatment unless they become bothersome.

6. Normal Variations: The vulvar anatomy can vary significantly from person to person. What is normal for one individual may not be the same for another.
It's important to note that while many bumps are normal, any changes in size, color, or sensation, or if they become painful, itchy, or associated with unusual discharge, should be evaluated by a healthcare professional. Regular gynecological check-ups can help monitor any changes in your vulvar anatomy and ensure that everything is healthy.

In summary, the small bumps you are noticing are likely normal anatomical features of the vulva. However, if you have concerns or if there are any changes in your symptoms, it is always best to consult with a healthcare provider for personalized advice and reassurance. Regular self-examinations and awareness of your body can help you identify any changes that may need further investigation.

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