the Anatomy and Health of Vulvar Skin: Common Concerns - Obstetrics and Gynecology

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Vulvar skin


Hello, I would like to ask if there are any glands in the area where the clitoral hood meets the labia minora.
Recently, while showering, I noticed a slight small bump on the left side of the clitoral hood where it connects with the labia minora.
Upon closer inspection, it appears to be a small round dot similar in size to a hair follicle found on other skin.
There is also a similar but less noticeable one on the right side, which does not have a raised feeling when touched.
I am very curious to know if this is a sign of illness or if it is a normal anatomical structure.
Thank you.

wonder, 20~29 year old female. Ask Date: 2015/09/01

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the perineal area contains numerous hair follicles and glands, and its appearance may not necessarily be symmetrical.
If you are experiencing any symptoms or have concerns, it is advisable to have a physician examine you.
Thank you, and wishing you peace and health.
Dr.
Zhang

Reply Date: 2015/09/01

More Info


The anatomy of the vulvar region is complex and includes various structures that can sometimes lead to concerns about health and normal physiological variations. The area you are describing, where the clitoral hood meets the labia minora, contains several glands and structures that are essential for maintaining vulvar health.

1. Anatomical Structures: The vulva includes the clitoris, labia majora, labia minora, vaginal opening, and the urethral opening. Within this region, there are several glands, including the Bartholin's glands, which are located bilaterally at the posterior portion of the vaginal opening. These glands secrete mucus to lubricate the vagina. Additionally, there are sebaceous glands associated with hair follicles that can be present throughout the vulvar skin.

2. Normal Variations: The small bump you are feeling could be a normal anatomical variation, such as a sebaceous cyst or a hair follicle. These structures can sometimes become more prominent due to hormonal changes, skin irritation, or other factors. It’s not uncommon for individuals to notice small bumps or changes in texture in this area, especially after bathing or during hormonal fluctuations.

3. Common Concerns: While many bumps or changes in the vulvar area are benign, it’s essential to monitor for any accompanying symptoms such as pain, itching, unusual discharge, or changes in color. If the bump becomes painful, grows in size, or if you notice any other concerning symptoms, it would be prudent to consult a healthcare provider for a thorough examination.

4. Hygiene and Care: Proper hygiene is crucial for vulvar health. It is advisable to use mild, unscented soaps and to avoid douching or using harsh products that can disrupt the natural flora of the area. After bathing, gently pat the area dry and consider using a fragrance-free moisturizer if you experience dryness.

5. When to Seek Medical Advice: If you have persistent concerns about the bump, or if you experience any discomfort, changes in the skin, or other unusual symptoms, it is best to seek medical advice. A healthcare provider can perform a physical examination and, if necessary, conduct tests to rule out any infections or other conditions.

6. Psychological Impact: It’s also important to acknowledge that concerns about the vulvar area can lead to anxiety or distress. Education about normal anatomy and variations can help alleviate fears and promote better self-care practices.

In conclusion, the small bump you are noticing is likely a normal anatomical feature, but it’s essential to remain vigilant about any changes. Regular self-examinations and awareness of your body can help you maintain your vulvar health. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and reassurance.

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