Hi. My 64 year old friend is having pain inside her vagina, making it very difficult to walk and urination is very painful. She tried looking inside for a bump or lesion (that is what it feels like is inside), but cannot see it because it is too far up inside the vagina. She put a warm wash cloth over the area and there was very light/pinkish blood on the cloth. Has had no intercourse in many years and has not had a period in 20 years. Is there a need to go to the emergency room? She is in pain and concerned. I am trying to help.