Aunt Vadge: We hit a lump – what is it?

  • Veronica Danger Vulvovaginal specialist naturopath
    Author: Aunt Vadge
    Qualified Naturopath | BHSc(N)

Dear Aunt Vadge,

My sexual partner hit a lump and it hurt me. I just want to know what that lump was.

Regards,
Lumpy


Dear Lumpy,

The vagina is a muscular tube surrounded by tissue, bone, ligaments and muscle, so depending on the angle, feeling bumps and firm spots isn’t unusual. When those tissues get bumped the wrong way they can be sore for a bit. As a rule, though, your vagina shouldn’t actually hurt, and a genuinely new or odd lump is worth understanding.

Working out what you felt

A few questions help sort it out. Is the lump inside the vagina, or on the vulva? Does it feel like a distinct growth or mass? Does it bleed, or feel tender to touch?

Some possibilities are completely benign – a cyst, a normal anatomical feature you simply hadn’t noticed, or just the ordinary internal landscape of muscle and tissue you feel when you start exploring. Something you were born with usually doesn’t hurt, because it’s part of you. A newer growth is more likely to become tender, inflamed or fluid-filled, which is when it starts to hurt.

Get to know your own map

It’s genuinely useful to explore your body in a calm, non-sexual way so you know what’s normal for you. Grab a mirror, take a few photos, and have a gentle feel as far as you comfortably can. See whether you can find the lump again, whether it has clear edges, and whether it’s sore when you press it in a way that doesn’t feel like an ordinary muscle or tendon. Our vagina basics guide and anatomical variations page can help you make sense of what you find. Keeping a short symptom diary is handy if it turns out to be something.

When to get it looked at

If the lump feels like a real growth or mass, bleeds, or is tender and not going away, book in to be examined – checking a lump is a doctor’s job, not something we do here, but it’s usually quick and reassuring. If you’re in a country where seeing a doctor is expensive, look for a free or low-cost sexual health or community clinic; most areas have one, and this is exactly what they’re for. You don’t need to be in crisis to ask about something that’s worrying you.

While we’re here: cervical screening

Now that you’re sexually active, it’s worth being up to date with cervical screening, which checks for HPV and the cell changes that can lead to cervical cancer. In most places the recommendation these days is a test roughly every five years from around age 25 (rather than the old yearly Pap smear), but the exact age and interval vary by country, so follow your local programme. It’s also a moment when you can ask a clinician about anything else that’s on your mind. HPV can be passed between partners of any gender, so screening matters whoever you’re sleeping with.

If you’re worried about the lump, get it checked and put your mind at ease. Write back if you’d like more help.

Warmest regards,
Aunt Vadge

This is general information, not a substitute for personalised medical advice. A new, painful or persistent lump should be assessed in person.



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