Vaginal Growths: Symptoms and Concerns Explained - Obstetrics and Gynecology

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Suspected cauliflower (referring to genital warts)?


Doctor, I would like to ask about a small growth near the outside of my vaginal opening that resembles a fibroma or polyp (it is round and not large).
I have had it since elementary school, but it has never been painful or itchy.
However, a few days ago, when my boyfriend was using his fingers during intercourse, it felt a bit too forceful, and I experienced some discomfort in my genital area.
I felt like the vaginal opening had a tear and there was a small amount of bleeding, which felt like a laceration.
A few days later, that growth became very painful, but the pain is not directly from the growth itself; rather, it feels like there is a line connecting it to my skin that is almost being torn apart (this sensation of a connecting line has always been there, but it never hurt before).
Today, after using the restroom and wiping, I noticed a few small spots of blood on the toilet paper, which seems to be coming from that area.
I want to ask if this could be a wart, given my symptoms.
Is it possible for something to remain for almost 10 years and only now become painful? The color has always been brown, and my genital area is darker; could this just be due to irritation or an infection from the tearing? Please, doctor, I need your advice.

Niming, 20~29 year old female. Ask Date: 2015/10/29

Dr. Lin Wenbin reply Obstetrics and Gynecology


It sounds more like a skin lesion, possibly a tear due to vigorous sexual activity.
As for the presence of warts, a physical examination is necessary to determine that.
If there is a lesion, surgical removal may be considered to prevent friction during sexual activity from causing a tear at the junction between the lesion and the skin.

Reply Date: 2015/10/29

More Info


Understanding vaginal growths can be a source of concern for many individuals, especially when accompanied by discomfort or changes in symptoms. Based on your description, it seems you are experiencing a growth near your vaginal opening that has become painful following some vigorous activity. Let's break down the potential causes and considerations regarding your symptoms.

Firstly, the growth you described as resembling a "meat bump" or polyp could be a variety of things. Common benign conditions include skin tags, sebaceous cysts, or even fibromas. These types of growths are generally harmless and can be present for years without causing any issues. However, the sudden onset of pain, especially after trauma, suggests that there may be an underlying issue that needs to be addressed.

The pain you are experiencing, particularly the sensation of a "line" connecting the growth to the surrounding skin, could indicate irritation or inflammation in the area. This could be due to the trauma from the vigorous activity you mentioned, which may have caused a small tear or abrasion. The presence of blood on the toilet paper after wiping could further support this idea, as it suggests that there may be some minor bleeding from the site of irritation or injury.

Regarding your concern about whether this could be related to genital warts (cauliflower-like growths caused by the human papillomavirus, or HPV), it is important to note that while genital warts can appear as small bumps, they typically have a different texture and appearance compared to benign growths. Genital warts can also be itchy or uncomfortable, but they usually do not present with pain unless they are irritated. The fact that you have had this growth for many years without significant changes is less typical for warts, which often change over time.

Given that you have experienced a change in symptoms, including pain and bleeding, it is crucial to seek medical evaluation. A healthcare provider can perform a physical examination to determine the nature of the growth and assess any associated symptoms. They may also consider a biopsy if there is any concern about the growth being atypical or if there are signs of infection.

In terms of treatment, if the growth is determined to be benign and the pain is due to irritation, your doctor may recommend conservative management, such as avoiding further irritation, using topical treatments to soothe the area, or in some cases, surgical removal if the growth is bothersome or recurrent. If there is an infection or if the growth is determined to be something more serious, appropriate treatment will be initiated based on the diagnosis.

It is also worth noting that maintaining good hygiene and avoiding irritants in the genital area can help prevent further issues. If you notice any changes in the color, size, or texture of the growth, or if you experience increased pain, discharge, or other concerning symptoms, it is essential to follow up with your healthcare provider promptly.

In conclusion, while the growth you described may not be a cause for alarm, the recent changes in symptoms warrant a thorough evaluation by a healthcare professional. They can provide you with a definitive diagnosis and appropriate treatment options to ensure your health and comfort. Remember, it is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.

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