Epworth Freemasons Hospital
Suite 101, 320 Victoria Parade
East Melbourne VIC 3002
information@drlenkliman.com.au 03 9419 2372
Articles/What Does a ‘Normal’ Vagina Look Like?
News  

What Does a ‘Normal’ Vagina Look Like?

a headshot of dr len kliman with his arms crossed
10 mins read December 9th 2024
a woman placing her hands over her vagina while wearing underwear

Understanding your body is important, but it can be hard to know what’s “normal” when it comes to your genitalia. The truth is, everyone’s body is unique—your vulva, just like your breasts, comes in all different shapes, sizes, and colours. There is no one-size-fits-all answer, and that’s completely normal.

This guide will help you understand the basics of female genital anatomy and reassure you that the natural differences in size, shape, and color are part of what makes us all unique.

The Vulva

The vulva refers to the external part of the genitalia, located outside the vagina. It consists of two main parts:

  • Labia Minora: These are the smaller, inner “lips” of the vagina, made of thin skin and lacking fatty tissue. They sit closest to the mons pubis.
  • Labia Majora: These are the larger, outer “lips” that are typically covered with hair. They are positioned below and to the sides of the labia minora.

At the front of the labia is the clitoris, which has a shaft and a glans (head). The area covering the first part of the clitoral shaft is protected by a hood of skin. The clitoris is a highly sensitive organ, with a large network of nerves, making it central to sexual arousal.

Below the clitoris, in the triangular space where the labia minora meet, lies the urethra—the tube that carries urine from the bladder to the outside of the body.

It’s important to remember that every vulva is unique. Just as the size and shape of our breasts differ from person to person, the vulva’s appearance can vary widely. This is completely normal, and there’s no “standard” look.

In particular, the labia minora can differ significantly in size. Some women may have labia minora that are larger or more pronounced, and this is perfectly normal. However, if the labia are large enough to cause irritation due to rubbing against clothing, it may be worth considering options to relieve the discomfort. It’s important to note that cosmetic surgery is generally not recommended unless there are symptoms that negatively impact your quality of life.

It’s essential to remember that differences in color, texture, and size are normal. If any changes occur in the appearance of the vulva, or if you notice unusual symptoms like pain, itching, or burning, it’s always a good idea to consult with a healthcare professional.

The Vagina

The vagina is a flexible, muscular tube that connects the uterus to the outside of the body. It’s lined with pink, moist skin known as the mucosa, which folds in a way that makes the vaginal walls appear wrinkled. At the top of the vagina is the cervix—the lower part of the uterus.

The amount of vaginal discharge produced can vary, especially in response to hormonal changes. For example, healthy vaginal discharge is typically thin and white or clear, and it may change in consistency throughout the menstrual cycle. During ovulation, discharge may become clearer and more abundant.

The vaginal mucosa typically appears pink, but it can also have a purple hue due to the rich blood supply. The vagina is usually directed toward the rectum, or posteriorly, but its angle can differ slightly between individuals.

The hymen is a thin membrane at the lower part of the vagina, typically disrupted during sexual intercourse. After the hymen breaks, it may leave behind remnants that can look like small bumps or polyp-like lesions, but these are completely normal.

If you experience symptoms such as vaginal pain, itching, or burning, or if you notice abnormal discharge (green, yellow, or with a foul odor), it’s important to consult a healthcare provider. These symptoms, especially when accompanied by unusual bleeding or changes following intercourse, could indicate an infection or other issues.

Should I Perform a Genital Self-Examination?

If you’re having regular check-ups and cervical screenings, and you don’t have any symptoms, there’s no need for routine genital self-examinations. However, some women with skin conditions like lichen sclerosus or HPV may monitor changes in their genital skin, but this should be done under the guidance of a healthcare professional.

If you’re otherwise healthy and asymptomatic, there’s no compelling reason to examine your genitalia regularly. However, it’s always wise to seek professional help if you notice anything unusual.

When To See Your Doctor or A Gynaecologist

If you notice a lump, nodule, or ulcer in the vulva or lower vagina, or if the appearance of your genitalia changes significantly, you should see a healthcare provider. These could be normal variations, but it’s always best to check with a doctor to ensure everything is healthy.

If you experience persistent symptoms such as pain, itching, or irritation that doesn’t improve in a few days, a consultation with a doctor is recommended. Similarly, abnormal bleeding, such as heavy periods, bleeding between cycles, or bleeding after intercourse or menopause, should be investigated further.

It’s always a good idea to seek medical advice if you notice anything out of the ordinary, whether it’s a new lesion, abnormal bleeding, or persistent symptoms like itching or pain.

While it can be difficult to observe changes in your own genitalia, doctors can often identify issues using specialized tools. Most changes are harmless and simply need a professional explanation. For example, small lumps on the vulva are often harmless cysts, and purple lesions can be benign collections of blood vessels called hemangiomas. These are all normal variants that can appear as we age.