Mass Coming Out of Vaginal Opening
There are various causes that may lead to the protrusion of tissue through vaginal orifice. Here are some important ones:
On either side of the vaginal opening are present small lubricating glands called bartholin’s glands.
They function by secreting a lubricating fluid which keeps the vagina moist and wet, preventing friction inside it.
When the mouth of any of these glands becomes blocked, the secretion keep accumulating inside it and a bartholin’s cyst develops. This cyst is a painless lump or swelling present at the vaginal opening.
This cystic lump usually gives no trouble. It may regress on its own in due course of time.
Rarely, a bartholin’s cyst may become infected to give rise to a pus filled lump called the bartholin’s abscess. The genital area is exposed to a variety of infective bugs, like E coli, all STD bugs (chlamydia etc.). Any of these may be the cause of these abscess.
This abscess is very painful, and typically present at the opening of the vagina.
It may grow in size, causing excruciating pain. It may also break in to the near by vaginal skin or mucosa, complicating the picture even more.
These abscesses need to be drained surgically. An antibiotic cover is usually given during the procedure.
Cystocele (Fallen Bladder)
When the muscles of the pelvic floor becomes weak or damaged, as during child birth, the bladder may sort of fall into the vagina. This appears as a large bulge in the anterior (front) vaginal wall.
The bulge may be big enough to come out of the vaginal opening as a small rounded lump.
If pressed, one may get a sensation to urinate.
Cystocele is painless to touch. Patient may feel a sagging sensation down there. She may have pain after standing for long hours.
Treatment is strengthening the pelvic floor muscles, either by exercises or surgically.
This is a condition where the womb falls into the vagina. This occurs due to weakening of the ligaments and musculature supporting the uterus.
The prolapse is categorized into four types, depending upon the degree of falling of the uterus.
First degree is where the uterus falls into the upper part of the vagina only.
Second degree is the one where the uterus prolapses upto the lower part of the vagina.
Third degree is where the uterus prolapses further down, so that a part of it is visible outside the vagina as a lump coming out of it. This is also called procidentia.
Fourth degree is where the uterus is fully coming out of the vaginal opening.
When the muscular wall between the vagina and the intestines weaken. a part of the bowels may bulge from inside the vagina. This is called an enterocele.
Bowel sounds may be auscultated form over the enterocele.
When the rectum falls into the vagina, a lump appears in the posterior (back) vaginal wall. This is called the rectocele. It may come out of the vaginal opening in the form of a lump.