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:

Bartholin’s Cyst

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.

Bartholin’s Abscess

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.

Uterine Prolapse

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.

Enterocele

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.

Rectocele

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.

Medical Advice (Q&As) on “Lump Coming Out From the Vagina

  1. Yachi

    Hi there. I am a 28 years old woman. I have 3 problems:
    1. Last year I developed something that looks like a water sack (a little big) near the opening of my vagina. It swells up sometimes and that’s when it makes me uncomfortable when sitting or when wearing pants.I dried it once but it still swells up. It’s just hanging there.
    2. Recently I again developed a hard pimple just above the water sack structure, it’s hard, feels like a lymph node but it’s painful when you touch it. I have had this before (2002), were treated but kept on coming and disappearing. Blood testing for STDs was done even this year August but nothing was found.
    3. I also have a lump in my breast, went to the cancer association clinic twice for check up and they said only to go back when it starts growing. I am worried about my health.

    Reply
      1. Yachi

        I have not seen the gyne about it yet, I am afraid it might be genital warts (looked it up on the Internet, have seen similar images to what I have). I do not know what to do, what is your suggestion about the lump that I have in my breast?

        Reply
        1. Buddy M.D. Post author

          A small lump which is soft or firm to touch and is freely movable within the breast tissue is not worrisome. It may be a cluster of fibrous tissue.

          You need to worry only if the lump grows in size or becomes attached to the underlying tissue, that is not mobile. Or if it becomes hard to touch.

          Reply
  2. Amy

    I have a boil on my vulvar, went to see a surgeon for removal today, however, she would like me to see an oncologist gynocologist as she thinks this could be cancerous. The size is about a quarter of an inch or more. It continues to drain and since it burst, I don’t have as much discomfort. When it burst, the odor was terrible. I waited all day for the surgeon to call me as she was going to make me an appointment but nothing yet. I am very concerned that I will have to wait and this boil is open to many germs. Any advice? If this is malignant, what are the chances it has spread, hypothetically speaking?

    Thank you for your time.

    Reply
    1. Buddy M.D. Post author

      Clean the fluid coming out of the boil, each time it burst. You may use doctor’s alcohol or some antiseptic solution to wipe the nearby area each time.

      Malignancy would not spread through this fluid. It would spread inside your body, as this boil invades the underlying skin tissues.

      Try making an appointment with the oncologist at the earliest.

      Reply
  3. cassidy

    I have a light pink thing poking out from my vagina down Closest to my rectum . Doesn’t. Hurt to touch it..but having an increase in discharge and light cramps… Can’t figure out what this is
    It is small in size

    Reply
  4. Unkowm

    I have a 14 year old daughter and on one side of the opening of her vagina she has a lump it first started off as a spot so what could it be..?

    Reply
    1. Buddy M.D. Post author

      Dose it pain? Does it appear to be filled with pus or any other fluid? Is the surrounding area red or swollen?

      Reply
  5. Unknown

    Just went to the bathroom to wee and it felt like I forgot my tampon in but it wasn’t my tampon, a small pink cluster of lumps was coming out what could that be …

    Reply
    1. Buddy M.D. Post author

      These may be debris material (part of your menstrual flow), coming out from your uterus. Nothing to worry.

      Reply
  6. Angela

    I was in the shower and felt a mass of something coming out of my vagina.it seems to be attached.there is no pain but some bleeding.

    Reply
    1. Buddy M.D. Post author

      Your age? Number of kids you have and how were they born? Was it a vaginal delivery or a C-section?

      Reply
        1. Buddy M.D. Post author

          For exact diagnosis, the mass needs to be examined. You need to see a gyne.

          Let us know, when does the lump come out, is it after straining a lot or standing for long hours? Is it painful or give you a stretch sensation? And finally, its shape, is it round or pear shaped or else?

          Reply
          1. Debby

            Yes I have the Round bulge Poppin out for my vagina it’s the first time it’s happened it did finally go away I do you rotate from side to side to scrape dinner tray from Three food trucks at work . I’m also going through menopause near the end and I’m 53 years old what do I do about this .? I heard about the netting I don’t want to do that , nothing but horror stories

          2. Buddy M.D. Post author

            It’s likely that your anterior vaginal wall is herniating out. This is common and the cause is physical stress, that include multiple child birth, standing for long hours, lifting heavy weight etc.

            Try Kegel’s exercises to strengthen the muscles of your pelvic floor. Avoid long standing hours, lifting heavy weight. If you have to stand for long, consider taking a break to sit or, if possible, lie down for 5- 10 minutes.

  7. Tiff

    I am 14 years old and i haven’t started my period yet. theirs a long pink thing that comes out of my vagina but i don’t know what it is. it does not have pain or it does not hurt. it hurts a little

    Reply
    1. Buddy M.D. Post author

      It’s alright to begin a with menses after 14. Commonly, 14 to 16 years is the median age for the start of menses.

      Have you done any fingering there? When does the pink thing come out, all the time or just sometimes? Can you describe the discharge, is it slimy or bloody?

      Reply
        1. Buddy M.D. Post author

          It’s normal. Likely to be a part of housekeeping your vaginal lining is doing there.

          There appears nothing to worry. Just start using a panty liner, if required.

          Reply
  8. Em Rey

    I am 18 years old, 36.4 weeks pregnant and on lv 3 bedrest for possible early labor. Im 3cm dilated and my baby has descended to -1. Earlier today I had gotten a hand mirror and checked down there to make sure things were still good but at my vaginal opening there was a pink squishy ball about the size of a marble. It does not hurt or appear to have any secretions but it was never there before. It is located on the inside but poking out; slightly to my left and near the top of the opening. Please help me figure what this could be, I don’t wish to have anymore issues with my pregnancy, especially ones that risk major complications.

    Reply
    1. Buddy M.D. Post author

      Since you have no symptom, there appears nothing to worry. This appears to be a part of your vaginal wall, coming out due to pressure.

      Reply
  9. brittany

    so i wear a menstrual cup. last night, i went to empty my cup and reinserted it just fine. no problems. this morning i went to empty it again and there is a big lump on the side of my vagina? i thought the cup tilted sideways, but my cup was actually sitting behind this mass. i can insert my finger in my vagina, and pulled my cup out just fine, but now i am not bleeding anymore? I’ve only had my period for 3 days. usually i bleed a lot more than that. it doesn’t hurt, no smell, no discharge, no fever. i feel fine. i literally just went to take my cup out and i felt it.. maybe a cyst? can they form that fast and get that big, literally overnight? i had a baby last year.
    my son is almost 9months old, but i had him via c-section. i turn 31 on the 22nd.

    Reply
    1. brittany

      it’s not coming out of the opening, but its right by the opening. its firm but still soft. it gives if i poke it.

      Reply
      1. Buddy M.D. Post author

        It’s likely to be a prolapse of your vaginal wall.

        Labor is a strenuous process. Though you delivered through C section, the musculature around the vaginal canal has suffered a lot of strain. You may understand this as a herniation.

        You need to visit a gyne for check up to reach an exact diagnosis and discuss its treatment.

        Reply
      1. Nikki

        I find that I’ve developed a protruding tongue like thing in the opening of my vagina which is just above the rectum. It itches a lot. The itching problem is persisting since six months or so. Before, I had not noticed this but smelly discharge would occur often. For that I was given antibiotic and canesten ointment by my gynae. I fear because my died of breast cancer. Is it abnormal. I’m 34. Please suggest.

        Reply
  10. Anna

    3 weeks after giving birth i have this pink thing bulging at the mouth of my vagina. Ihave no pains, my stitches are healed all im having just normal postpatrum bleeding.

    Can it be prolapse? An infection Or will i heal as time pass??

    Worried

    Reply
  11. Grace

    Hi, I’m 20 and not pregnant. About five days ago, I began to feel and uncomfortable sensation right at the opening of my vagina that turned painful to the point of not being able to wear pants. This was accompanied by a constant need to pee and a burning sensation. Went to the doctor whom said it was a UTI, and took antibiotics for 6 days.
    Meanwhile, I have noticed my vaginal wall is swollen to the point of it closing up at times, and portrudes into a squishy almost bubbly uneven bump right at the entrance. The peeing sensation has not stopped either, no matter the medication nor the use of vaginal cream. I also constantly feel bloated. I’ve noticed more swelling each time I am aroused.
    What can this be?

    Reply
  12. tolu

    My discharge I think is too much, I use to feel it when I discharge Even when I unirate do see some on the floor as I unirate…. My vagina is not itchy, smelly Just smell sour. Please I don’t know if is infection or just normal cause I just finished my period 9 days ago.
    Thank you .

    Reply
    1. Buddy M.D. Post author

      Check if you have any itch, redness or pain down there? If not, there’s nothing to worry. This is just excessive amount of your normal discharge.

      You may get excess of discharge after sexual stimulation or if you’re nutritionally deficient or weak. There may be other reasons too. Need to be evaluated on check up.

      Reply
  13. No

    I have a pinkish white lump coming out of my vagina which seems to form around it but I can clean it off with a wipe. It does burn a little more like uncomfortable feeling. I’m not sure what it is. I do feel like I have to pee more than usual.

    Reply