Growths Near the Vaginal Opening: Symptoms and Concerns - Urology

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When it comes to growths near the vaginal opening, it's essential to approach the situation with care and understanding. Based on your description, it seems you have a small growth that resembles a polyp or a benign tumor, which has been present for many years without causing discomfort. However, recent trauma from sexual activity has led to pain and some bleeding, which is concerning.

Firstly, it's important to note that growths in the genital area can vary widely in nature. They can be benign, such as skin tags, cysts, or fibromas, or they can be more serious, such as warts caused by the human papillomavirus (HPV), which can manifest as condyloma acuminata (commonly known as genital warts). The fact that your growth has been stable for many years and has only recently become painful after trauma suggests that it may not be a rapidly changing lesion, but rather a reaction to the recent injury.

The pain you are experiencing, particularly the sensation of a "line" connecting the growth to the surrounding skin, could indicate inflammation or irritation in the area. This is not uncommon after trauma, especially if the skin was broken, leading to potential infection or simply irritation from the injury. The presence of blood on the toilet paper may also suggest that the area is still healing or that there is some ongoing irritation.

Regarding your concern about whether this could be related to HPV or genital warts, it's important to understand that while HPV can cause growths in the genital area, the characteristics of the growth (such as its color, texture, and duration) play a significant role in determining its nature. Warts typically have a cauliflower-like appearance and can be tender, but they can also be asymptomatic. The fact that your growth has been present for a long time without change is somewhat reassuring, but it does not completely rule out the possibility of HPV.

Given the symptoms you've described, it is highly advisable to seek medical attention. A healthcare provider, preferably a gynecologist, can perform a thorough examination of the area. They may recommend a biopsy of the growth to determine its exact nature, especially if there are any concerns about malignancy or if it appears atypical. Additionally, they can assess the surrounding tissue for signs of infection or other issues related to the trauma you experienced.

In the meantime, it is crucial to avoid any further irritation to the area. This means refraining from sexual activity until you have been evaluated by a healthcare professional. Keeping the area clean and dry can help prevent infection, and if you notice any signs of increased redness, swelling, or discharge, you should seek medical care promptly.

In summary, while your growth may be benign, the recent pain and bleeding warrant a professional evaluation to ensure proper diagnosis and treatment. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. Your health and peace of mind are paramount, so please prioritize seeing a healthcare provider soon.