Is this granulation tissue or vaginal prolapse? (Photo)

Question

Doctor, I have this concern over 4 years now. From my first sexual intercourse, I had a deep injury and bled a lot. Then hematoma occurred and went away, after a week later I saw a small bulge like tissue protruding out from my vagina. It grew over time. But no interference for sex. Now it has more other tissue growths. I wanna know what this is. Granulation tissues? Vaginal wall protrusion from vaginal prolapse? And please tell me treatment options?

Anna Chacon, MD, FAAD · Answer

It's important to consult a healthcare professional for an accurate diagnosis, as examining a photo and understanding the full clinical history is necessary to differentiate between granulation tissue and vaginal prolapse. Here’s a general overview of both conditions and potential treatment options:

Granulation Tissue:

Description: Granulation tissue is a type of healing tissue that can form after an injury or surgery. It appears as red, bumpy tissue and is typically associated with healing wounds or areas of irritation.

Symptoms: It may cause discomfort, bleeding, or discharge but does not usually involve a bulge of the vaginal wall.

Treatment Options:

Observation: If the tissue is not causing significant symptoms, it may be monitored over time.
Topical Treatments: Application of topical estrogen or corticosteroids might be suggested to reduce inflammation.
Surgical Removal: If symptomatic or persistent, a minor surgical procedure might be necessary to remove the tissue.
Vaginal Prolapse:

Description: Vaginal prolapse occurs when the structures supporting the vagina (such as muscles and ligaments) weaken, leading to a protrusion or bulge.

Symptoms: A sensation of pressure, a visible bulge, difficulty with urination or bowel movements, and discomfort during intercourse.

Treatment Options:

Pelvic Floor Exercises: Strengthening exercises such as Kegels can help improve muscle support.
Pessary: A device inserted into the vagina to support the prolapsed area.
Surgery: In severe cases, surgical intervention may be necessary to repair the prolapsed tissue.
Next Steps:

Consult a Gynecologist: Schedule an appointment with a gynecologist for a thorough examination and diagnosis. They can differentiate between the two conditions based on a physical exam and possibly imaging studies.

Discuss Treatment Plans: Based on the diagnosis, your doctor can recommend an appropriate treatment plan tailored to your needs and symptoms.

By seeking professional medical evaluation, you can receive the correct diagnosis and treatment plan to address your concerns effectively.

Ali Dogukan Angin, MD · Answer

Hi, the tissues look like hymenal part of the vagina, that lay down in the enstrance of vagina. They seem normal vaginal tissue, not a prolapse. With a surgery or laser, this overflowing tissues can be easily removed

Michelle Jones Singer, MD · Answer

What you are demonstrating are hymenal tags or hymenal remnants. Not all of the hymenal tissue recedes into the vagina, and hymenal tags may form once your hymen breaks. The tag is regarded as remaining hymen material. I you choose these can be removed by your gynecologic surgeon.

Marco A. Pelosi III, MD, FACOG, FACS · Answer

The skin which protrudes is a hymenal skin tag. They're normal, but when they bother you they can be removed quickly and easily in the office under local. See your gynecologist.

Mark N. Scheinberg, MD · Answer

Thank you for your questionThe answer is neither. Your photos show edematous(swollen) hymenal ring remnants. Hymenal ring remnants are the residual hymenal tissue after being torn after first intercourse. In your case they have become swollen from irritation. The swelling should be reduced over time but They can be trimmed off easily in the office.

Cynthia McNally, MD · Answer

I can't say for sure without doing an exam, but it looks like enlarged hymenal tags. Most women will have visible remnants of their hymen, and for some it is more exaggerated than other. This is neither prolapse nor granulation tissue.
If it really bothers you, some gynecologist can numb up the extra tissue and remove this in the office. But you do not necessarily need to do anything about this, it is common.

Joe Daniels, MBBS · Answer

ThanksFrom your history, it will appear to be hymenal (skin) tag from your first sex. If you have children it could still be remnants from your broken / torn hymen at childbirth

Is this granulation tissue or vaginal prolapse? (Photo)

Answers (7)

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