[27F] Experiencing severe vaginal discomfort with a painful bump

Patient Description

A 27-year-old female has been experiencing severe vaginal discomfort for a week, rated 8 out of 10 in severity. The discomfort is present when sitting down, and it's unclear whether it originates from inside the vagina or from a small, soft, pink bump on the vagina that is painful to touch. The bump was initially itchy, but the itchiness has resolved. Additionally, there has been an increase in watery vaginal discharge, which has been present for the same duration as the pain and bump. The patient has not engaged in sexual activity recently and has a history of ovarian cysts, but it is uncertain if there is a connection to the current symptoms. There is no foul-smelling discharge, fever, pain during urination, or redness around the bump. The patient is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Bartholin's Cyst: The Bartholin's glands are located on each side of the vaginal opening. They secrete fluid that helps lubricate the vagina. Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is a relatively painless swelling called a Bartholin's cyst. If the fluid within the cyst becomes infected, you may develop a collection of pus surrounded by inflamed tissue (abscess).

    • Treatment: Warm soaks four times a day can help the cyst to drain on its own. If the cyst is painful, your doctor may perform a minor procedure to drain the cyst. In some cases, antibiotics are needed.
  • Vaginal Cyst: Vaginal cysts are firm lumps on the wall of the vagina. They are normally about the size of a pea or smaller. Vaginal cysts usually don't cause symptoms. However, if they become infected, they can cause discomfort.

    • Treatment: If the cyst is causing discomfort, your doctor may recommend surgery to remove the cyst.
  • Genital Warts (HPV infection): Genital warts are one of the most common types of sexually transmitted infections. They are caused by the human papillomavirus (HPV). Genital warts can appear as a small bump or group of bumps in the genital area.

    • Treatment: Genital warts often disappear on their own without treatment. But they can be removed by medications or surgery if necessary.
  • Vulvar Cancer: This is a type of cancer that occurs on the outer surface area of the female genitalia. Vulvar cancer commonly forms as a lump or sore on the vulva that often causes itching. However, this is less likely given your age and the short duration of symptoms.

    • Treatment: Treatment for vulvar cancer usually involves surgery to remove the cancer and a small amount of surrounding healthy tissue.

What you can do

You should seek medical attention as soon as possible to get a proper diagnosis and appropriate treatment. In the meantime, avoid touching or scratching the area to prevent any potential infection from spreading.

What you should look out for

If you notice any of the following symptoms, seek medical help immediately:

  • The bump increases in size or becomes more painful
  • You develop a fever or other signs of infection such as redness, warmth or swelling in the genital area
  • You experience pain during sexual intercourse

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What is a Bartholin's cyst and how is it treated?

A Bartholin's cyst occurs when the openings of the Bartholin's glands become obstructed, causing fluid to back up into the gland. This can result in a swelling that may become infected, forming an abscess. Treatment often involves warm soaks to encourage drainage, and in some cases, a minor procedure or antibiotics may be necessary.


Can vaginal cysts cause discomfort and what are the treatment options?

Vaginal cysts are firm lumps on the vaginal wall that usually don't cause symptoms. However, if they become infected, they can cause discomfort. Treatment may involve surgical removal if the cyst is causing significant discomfort.


What are genital warts and how are they treated?

Genital warts are caused by the human papillomavirus (HPV) and appear as small bumps in the genital area. They can disappear on their own, but treatment options include medications or surgical removal if necessary.


What symptoms should prompt immediate medical attention in cases of vaginal discomfort?

Immediate medical attention should be sought if the bump increases in size or becomes more painful, if there is a fever or signs of infection such as redness, warmth, or swelling in the genital area, or if there is pain during sexual intercourse.


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