The sensation of a foreign body in the vagina is noted with volumetric formations, inflammation, the ingress of foreign objects into the vagina. It is found in conditions caused by weakness of the pelvic floor muscles. It can be combined with pain, dyspareunia, urination and defecation disorders, and other symptoms. The cause of the sensation is established according to the data of the survey, gynecological examination, colposcopy, ultrasonography, laboratory tests. Treatment involves the use of local remedies, special exercises, hormone therapy, and surgical operations.
The symptom is observed with cysts, benign and malignant tumors. In the early stages, there is no sensation of a foreign body, the corresponding complaint appears with a sufficiently large size of the formation. Among benign neoplasias, this symptom is more often provoked by fibromas, myomas and lipomas of the vagina. Patients are concerned about pulling or contact pain, discomfort during intercourse, and sometimes problems with defecation and urination. Symptoms progress slowly over months or years.
Vaginal cysts are often hidden. The clinical picture with large cystic formations resembles that with lipomas, myomas and fibromas. With ulceration of the surface and suppuration of the cyst, there is an increase in pain, the appearance of pathological whites, signs of colpitis. Small vaginal polyps do not manifest themselves in any way. For multiple and large polyps, a feeling of pressure, dyspareunia, spotting during intercourse, and bleeding not associated with menstruation are characteristic.
Among malignant tumors, foreign body sensation often provokes vaginal sarcoma. The onset of the symptom is preceded by purulent or serous discharge mixed with blood, contact bleeding during sexual intercourse. Subsequently, there are pains in the abdomen, radiating to the legs and lower back. An increase in regional lymph nodes, dysuria, defecation disorders, and a progressive deterioration in the general condition are detected. The feeling of a foreign object can also be disturbing in exophytic vaginal cancer. The development of neoplasia is accompanied by bleeding, pain and pathological discharge.
Foreign objects enter the vagina with injuries, attempts at sexual stimulation, self-administered medical procedures. In girls, the cause of the penetration of foreign bodies into the vagina is pranks, awkward movements during sedentary games. The symptom occurs when large objects are hit. If the mucosa is damaged, a colpitis clinic develops.
Sensation of a foreign body in the vagina
The sensation of a foreign body is due to the protrusion of neighboring organs into the vaginal cavity due to genital prolapse. With a cystocele, the feeling of a foreign object becomes one of the first symptoms of the disease. Increases with defecation, urination, coughing, lifting weights. Complemented by a feeling of overflow of the bladder, weakening of the jet, imperative urge to urinate, stress urinary incontinence, dull pain in the lower abdomen, pain during sexual intercourse.
Enterocele is also manifested by the sensation of a foreign body, pulling pains in the lower abdomen, dyspareunia. Signs of intestinal involvement are revealed: soreness in the navel, flatulence, the relationship of symptoms with meals, periodic constipation, a feeling of incomplete emptying of the intestine. In the later stages, the protrusion is visually defined as a reddish formation in the zone of the genital slit.
With a rectocele, the feeling of a foreign body can disturb both the vaginal area and the rectum. Difficulties in defecation prevail. Patients use enemas or take laxatives to empty their bowels. With the progression of the pathology, for the release of feces, pressure is required with the hands on the perineum, buttocks, or vaginal wall. Diseases of the rectum develop.
Feeling of a rounded foreign body, a feeling of fullness are the first signs of vaginal prolapse. Subsequently, mixed symptoms are observed, indicating the involvement of the lower gastrointestinal tract and urinary organs: a tendency to constipation, involuntary passage of flatus, stress and then urgency incontinence, difficulty urinating. Possible dyspareunia.
When the uterus is lowered, menstrual dysfunction (algomenorrhea or hyperpolymenorrhea) joins the manifestations listed above. Possible infertility. There is a possibility of infection of the urinary tract with the development of cystitis, pyelonephritis, hydronephrosis, urolithiasis. Colitis is possible. With prolapse of the uterus and vagina, the mucosa is constantly injured. Areas of necrosis and trophic ulcers may form.
The sign is also observed in patients with elongation of the cervix, if the lengthening of this part of the organ is combined with genital prolapse. The feeling of alien inclusion, as in previous cases, appears already at the initial stage of the disease, subsequently supplemented by urological and proctological symptoms.
The symptom is more pronounced in acute vaginitis. Pathology is accompanied by abundant mucous or mucopurulent leucorrhoea with an unpleasant odor, sometimes with blood impurities. Characterized by burning, itching, swelling, hyperemia of the external genitalia, pressing and arching pains in the lower abdomen, in the perineum, painful urination. In chronic colpitis, the symptoms are smoothed out, the condition is satisfactory, women often notice a decrease in sexual activity due to discomfort.
Diagnostic measures are carried out by a gynecologist. During the survey, the specialist finds out how long the symptom bothers, under what circumstances it appeared. Collects information about the characteristics of sexual development, sexual life, past gynecological diseases. Identifies other complaints (discharge, pain, cycle disorders, bleeding, defecation and urination disorders). The survey includes procedures such as:
Gynecological examination
Tactics of conservative treatment is determined by the etiology of the disease. Foreign bodies are removed with a finger, clamp, tweezers or by washing. Patients with colpitis carry out local activities: douching with anti-inflammatory and emollient solutions, the introduction of antimicrobial tablets and vaginal suppositories, tampons with sea buckthorn oil. Carry out correction of endocrine and immune disorders. In the initial stages of prolapse, the following activities are performed:
These methods can be supplemented by physiotherapy procedures. With weakness of the muscles of the pelvic floor, electromyostimulation, laser therapy and other methods are prescribed. Treatment regimens for malignant neoplasms include polychemotherapy, intracavitary brachytherapy, external beam radiation therapy.
Taking into account the characteristics of the pathology, the following operations are performed: