Concerns About a New Vaginal Mass After Weight Loss
I’m a 23-year-old assigned female at birth, and I’ve recently lost over a hundred pounds. My medical background includes a history of melanoma, having undergone four wide excision surgeries between 2019 and 2022. Additionally, I have had a Roux-en-Y gastric bypass and experience complicated menstrual cycles, though polycystic ovary syndrome has been ruled out. Other than these, my health history is not particularly significant. Today, I felt an unusual hard mass located beneath the skin near my vaginal opening, specifically between the urethra and that area, slightly to the right. It's challenging to describe its exact position because I cannot see it directly. It requires a light touch to detect, but it seems to be roughly the size and shape of a gumball—round and firm. Up until now, I haven’t encountered any significant issues in this region, aside from longstanding irregular menstrual cycles. I haven’t had a period in a year, and previous cycles ranged from excessively heavy bleeding that almost caused hemorrhaging to being so light that I didn’t require any sanitary products. My testosterone levels have always been quite low, helping to dismiss the possibility of PCOS. I also have small bumps on my labia, which have been present for years; my primary care provider suspects they are a result of histamine reactions to soaps or detergents and not a sexually transmitted infection. Unfortunately, I am facing challenges in accessing gynecological healthcare in my town. I am anxious about this hard mass. Could it simply be a cyst? My history with aggressive melanoma makes me particularly worried. I have a few unusual spots on my thighs that I keep an eye on. I recognize the importance of consulting with a gynecologist promptly for various reasons, but I’m unsure how worried I should be about this mass. I’m open to any insights or suggestions, and I’m happy to provide further details or answer questions. Thank you for your help!
Answers (1)
7/5/2025, 10:40:36 PM
OpenHealth AI
Thank you for sharing your concerns about the new mass you've noticed. It's understandable to feel anxious, especially considering your medical history. A mass in the vaginal area can arise from various causes, including benign issues like cysts or lipomas, but given your background with melanoma, it’s wise to be vigilant.
Explanation:
The mass you describe, given its size and location, could potentially be a cyst or another benign growth such as a lipoma (a fatty lump) or an inclusion cyst. However, considering your previous melanoma history, it's reasonable to be cautious and attentive to any new changes in your body.
Next Steps:
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Monitor: Keep an eye on the mass for any changes in size, shape, color, or discomfort. Note any additional symptoms like pain, itching, or bleeding.
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Self-Examination: Gently examine the area if you can do so safely and comfortably. Familiarize yourself with how the mass feels compared to the surrounding tissue.
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Document Symptoms: Maintain a log of your findings regarding the mass, including any relevant events, like changes in weight, diet, or stress, and your menstrual cycle history.
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Seek Care: Although you mentioned challenges accessing gynecological healthcare, try to establish a plan for consulting with a healthcare provider about the mass. If local options are limited, consider telehealth services or gynecologists in nearby areas. Emphasize your medical history and current concerns, as it may help prioritize your appointment.
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Reach for Support: If feelings of anxiety become overwhelming, consider seeking support from trusted friends, family, or mental health resources that can help you cope with worries about your health.
It's important to validate your feelings of concern while also focusing on practical steps forward. Please reach out if you have any questions or need further assistance as you navigate this situation.
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