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Problems about lump in the vagina - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
User :   Hi there. I found two small lumps on the wall of my vagina. There is one on each side and they seem almost directly across from each other. The lumps are not easy to feel and they are up near my cervix. One is slightly bigger than the other. Of note, i had a D&C about three months ago. No period since then other than a flow like a period for about 7 days after the procedure. What could the lumps be? Thanks.
Doctor :   Hi
User :   Hello
Doctor :   May I know your age?
Doctor :   How big are these lumps?
User :   27
Doctor :   Do you have itching, discharge, pain?
Doctor :   Do you they disappear on applying pressure?
User :   I had some discharge for a few days, but it has decreased. Might have been ovulating. Slight itching. No pain.
Doctor :   How big are these lumps? and since when have you noticed it?
User :   No, they dont disappear. I can only feel them when I press down.
User :   Smaller than a pea. Slightly firm. Noticed 3 weeks ago.
Doctor :   Ok
Doctor :   Do you have any medical illness such as diabetes/thyroid problems?
User :   Had abnormal thyroid about 1 year ago. Had a few recent blood test. Thyroid level is currently normal. I had overactive thyroid
User :   Also HPV diagnosed four years ago al
Doctor :   Ok
User :   Only one abnormal pap at that time.
Doctor :   Ok
Doctor :   Let me brief you.
User :   Thanks.
Doctor :   Without physical examination, it's not an easy task to predict what exact the cause might be,
Doctor :   however, I shall provide you with information that should help in guiding you.
Doctor :   A small pea like lump, which are asymptomatic, in an active women are usually results of blocked glands.
Doctor :   Common blocked glands are bartholin glands resulting in bartholin cyst.
Doctor :   This could also be the same.
Doctor :   A red looking, itch lumps are as a result of infection.
Doctor :   The third possible cause may be a initial stage of wart development.
User :   I had a pelvic exam two months ago. Dr. Didn't mention anything then. Could the cysts have developed after that?
Doctor :   Yes.
Doctor :   these lumps might have developed after your last pelvic lesion, or they were not visible at that particular time.
User :   Do bartholin cysts or warts affect fertility? My husband and I would like to try again this year.
Doctor :   You may have to see your gynecologist again, who by a physical examination will be able to provide you with more information.
Doctor :   No, they don't affect fertility.
Doctor :   But it is necessary that it is diagnosed early to prevent complications such as infections and other symptoms from developing.
User :   Is it possibly
User :   at my
User :   Age
Doctor :   Bartholin cyst are common in adults who have very actively secretion glands.
User :   To develop vaginal cancer or cervical cancer because of HPV?
Doctor :   Endocrine functions of ovaries also contribute to the developement of cysts.
Doctor :   Cervical cancer secondary to HPV are common in middle aged women, usually developed after the age of 35.
User :   When i had my pelvic exam, he did an ultrasound. Saw nothing regarding ovarian cysts.
Doctor :   The longer duration of infection and presence of genital warts are factors
Doctor :   that predispose to early development of cervical/vaginal cancer.
User :   Where are bartholin cysts usually found in vagina. These bumps are pretty far back.
Doctor :   I wouldn't zero on to HPV infection/genital warts at this point, and the chances of this are also unlikely.
User :   Ok.
Doctor :   But will also not recommend you to wait for a long time before you see your doctor.
User :   I have another appointment in about a month: is this too long to wait?
Doctor :   That should be fine.
Doctor :   In the mean time, you will need to watch over
Doctor :   on the progress of this lump.
User :   Would you
Doctor :   If you notice further increase in the size of the lumps, changes in the appearance of the lump, notice redness/pain/discomfort, abnormal discharge, pain/burning/discomfort while passing urine
User :   Mind telling me where in the vagina bartholin cysts usually occur?
Doctor :   If such symptoms appear, report to your doctor as early as possible.
User :   Will do.
Doctor :   Bartholin cyst are common in the external genitalia.
User :   Okay. Thanks for the info. These are not external at all. Could it still be?
Doctor :   The are located on both sides near the opening of the vagina.
User :   Hmm. These are back near the cervix though.
User :   Is our time up?
Doctor :   Apart from these glands there are other glands such as skene's glands, vestibular glands which are present in the vaginal region.
Doctor :   Vestibular glands being a litlle higher up close to cervix.
Doctor :   One of these glands may have got obstructed leading to the lumps.
User :   Okay.
User :   Is it possible that It's just the glands themselves
Doctor :   It is a tough task to predict what exactly these lumps are, sitting at one end of the computer.
Doctor :   Hence I strongly recommend you to see a doctor a general practitioner or a gynecologist who will be able to diagnose the lumps better.
Doctor :   No, these glands and their ducts aren
User :   Right. I understand. :)
Doctor :   * are not visible unless inflammed or obstructed.
Doctor :   Have you followed?
User :   Yes.
Doctor :   Do you have any other query?
User :   No. I feel better having the info you gave. I do have another appointment in a month at whi h time
User :   I'll be sire to ask my gyno the same questions.
Doctor :   Yes, monitor the progress of the lump as you wait to see your doctor.
User :   I appreciate your time.
Doctor :   I wish these are just simple cyst as I mentioned to you.
Doctor :   Thanks for consulting me.
User :   Thanks. Me too.
Doctor :   Bye for now.
User :   Good bye.
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