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Lump in the vagina: causes and treatments

by Alivia Nyhan
Published: Last Updated on
Lump in the vagina

The female sexual apparatus is made up of the uterus, the fallopian tubes, the vulva, the ovaries, and the vagina, the latter being the only part that has contact with the outside, as it is responsible for allowing the menstrual flow to escape, for eliminating cervical mucus that is produced during ovulation and to serve as a channel for the fetus to exit during labor and to dispose of the placenta.

Because it is such an essential organ for female health, noticing a lump in the vagina is an alarming fact that can make us think the worst. However, contrary to what is believed, a vaginal bulge is not always associated with cancer or severe diseases since the vagina and its walls are very delicate, so it is expected that any irritation can cause the appearance of tiny cysts. We invite you to continue reading this article by FastlyHealabout a lump in the vagina: causes and treatments.

Vaginal folliculitis

Pubic hair, like the rest of the hair on the body, is born in the hair follicles located in the subcutaneous layer of the skin. When a hair follicle becomes infected, it becomes inflamed, usually from contact with Staphylococcus aureus bacteria. A lump forms in the vagina that can be uncomfortable, painful, and red.

The use of tight underwearwaxing, and shaving also causes damage to the hair follicles, which can become blocked and prevent the hair from coming out, causing a painful lump in the vagina, sometimes accompanied by pus similar in appearance to a pimple. Vaginal folliculitis manifests itself through a rash, itching, spots on the skin, and a scab is expected as it heals.

In general, vaginal folliculitis does not need any treatment, as it is a condition that heals on its own as the hair grows and manages to come out. It is important to avoid removing the lump in the vagina, and it is recommended to use loose cotton underwear to reduce discomfort. Likewise, to prevent further damage to the follicles, it is recommended:

  • Reduce friction with clothing.
  • Do not shave or shave the area.
  • Keep the area clean, washing the vagina with neutral pH antibacterial soap.
  • Each time the vagina is shaved, it is recommended to use a new razor.
  • Wear freshly laundered underwear.
  • Avoid wearing very tight clothing.
  • After taking a shower, be very careful when drying the vagina with the towel. It is essential to avoid friction that can hurt the lump.

When folliculitis is the product of staphylococcal bacteria or contact with fungi (fungal folliculitis), it is necessary to use antibacterial or antifungal medicines to act directly on the agent and eliminate it from the vagina. In these cases, the most common treatment is the application of ovules or vaginal creams for three days.

Vaginal folliculitis

Skene duct cysts

Skene’s glands are responsible for the woman secreting fluid during orgasm and are located in the upper part of the vagina, around the urethra, and near the G-spot. When the woman is aroused, the blood fills these glands with fluid, expelled during the climax. When these glands become infected, their ducts become clogged and lead to small cysts in the vagina.

The symptoms of cysts in the Skene duct are:

  • Pain when having sex.
  • Sporadic fever
  • Constant urge to urinate without being able to do so.
  • Pain when urinating
  • Urinary infection.
  • At first, when cysts are forming, a woman may not have any symptoms.


When cysts in Skene’s duct are minor and unnoticed, they may be discovered unexpectedly during a gynecological visit. When the woman presents discomfort, it is essential to go to the doctor to be examined, and the presence of cysts is ruled out. When the cysts cause a lot of discomfort to the woman, it will be necessary to remove them through surgery.


Cysts in the Bartholin’s glands

The Bartholin glands are located between the labia minora and the vaginal walls and are responsible for keeping the vagina lubricated. When the orifice of these glands is blocked and prevents the secretion of lubrication, small painful cysts form that may or may not be accompanied by an infection. In these cases, the lump in the vagina can measure up to 5 centimeters, and its appearance is very similar to that of an abscess. Stress, the use of very tight underwear, and some oral contraceptives are the leading causes of cysts in the Bartholin’s glands, which are estimated to affect 2% of the world’s women.

Among the symptoms of this condition are:

  • The area is swollen and very hot.
  • Pain during sexual intercourse.
  • Pain when walking or sitting.
  • Lumps in the vagina are located on each side of the vaginal opening.
  • Fever


Treatment for Bartholin gland cysts consists of draining the fluid that fills the abscess, which will relieve the discomfort and de-inflammation of the cyst. This can be done through lukewarm baths for four days or a small surgical incision to remove all the fluid from the lump. After the incision, the woman will need warm baths for two days, and, in more severe cases, a tube may need to be inserted to allow the fluid to drain for six weeks until the wound heals.

Marsupialization is another method to treat these lumps in the vagina. It consists of making a small and permanent incision in the gland to drain the blocked fluid gradually. This procedure can be performed outpatient under topical or general anesthesia and suggests using lukewarm baths during recovery when the cysts in the Bartolina glands are accompanied by infection, consuming antibiotics to eradicate the bacteria.

Skene duct cysts

Genital herpes

Genital herpes is a sexually transmitted disease caused by infection with the herpes simplex virus. This condition directly affects the skin and vaginal mucosa, and any contact with fluids or the skin of an infected person can be enough to cause infection. Genital herpes manifests itself through an outbreak. Usually, the first outbreak is asymptomatic, and the disease can be confused with a skin infection. However, over time, the next episodes are generally accompanied by the following symptoms:

  • Small, painful blisters on the genitals, filled with fluid and similar in color to straw.
  • Blisters can appear on outer lips, around the anus, vagina, cervix, buttocks, tongues, mouth, gums, lips, and fingers.
  • Decreased appetite.
  • Fever.
  • General discomfort.
  • Muscle pain in the lower back, knees, thighs, and buttocks.
  • Swelling of the lymph nodes.
  • Pain when urinating
  • Abnormal vaginal discharge
  • Difficulty completely emptying the bladder.
  • Tingling, burning, pain, and itching.


Genital herpes has no cure. Therefore, treatment consists of controlling the frequency of outbreaks to ensure the quality of life of the infected person. To help fight the virus, medicines are often prescribed to help relieve pain and allow ulcers to heal more quickly during each outbreak. When outbreaks are repetitive, these medicines should be used when the first symptoms, such as burning, appear, which will help shorten the duration of the epidemic. The following FastlyHealarticle explains the best home remedies for genital herpes.

People with constant outbreaks usually need to take these medicines daily, which will help to shorten the duration of the epidemic, decrease the frequency of the episodes, and reduce the ability to infect others. Pregnant women can only receive treatment for genital herpes during the last month of pregnancy, with the sole intention of preventing transmission to the fetus during delivery. There are people infected with the herpes virus who have only one outbreak in their life.

Human papilloma virus

These viruses, better known as HPV by their initials, are more common than you think, and there are more than 100 types. Although most of these viruses are considered harmless, 30 strains pose a significant risk to women for cervical cancer. The human papillomavirus in women is transmitted through sexual intercourse and affects the genitals causing the appearance of small warts. However, it is considered that the type of virus able to generate these injuries is the least harmless to women’s health.


Often, when infected with HPV, they do not present any symptoms. Many women find out that they suffer from this condition through the results of the cytology performed by the gynecologist during a routine consultation. Treating genital warts caused by these viruses is essential to control the infection. To eliminate the lesions, the woman can be asked to apply medicine to warts twice a day. If this treatment does not work, it will be necessary for the woman to go to the doctor to apply trichloroacetic acid, a powerful acid that specialists can only use.

This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor in the case of presenting any condition or discomfort.

If you want to read more articles similar to Lump in the vagina: causes and treatments, we recommend that you enter our category of Female reproductive system.

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