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Medically reviewed by Carolyn Kay, M.D. — Written by Beth Sissons on March 17, 2020
The vagina is a flexible tube that joins the uterus to the vulva. Vaginas vary among individuals in color, size, and shape.
Getting to know what the inside of a vagina looks like and what is normal for each individual can help people feel more familiar with their body. It can also help with identifying abnormal changes.
Here, we look at the anatomy of the vagina and how to do a self-exam. We also discuss symptoms that can indicate a health issue with the vagina and explain when to see a doctor.
The diagram below shows the placement of the vagina in the vulva, visible externally.
The diagram below shows the inside of the vagina, and how it connects to the uterus.
The vagina is an elastic tube that connects the uterus and cervix to the vulva. The vagina is about 3 inches long.
The shape of a vagina can vary from person to person. Some vaginas are oval like an egg, while others can be more cylindrical.
The opening of the vagina is between the urethra, through which urine leaves the body, and the anus.
The vaginal opening is where blood leaves the body during menstruation, a penis enters during sexual intercourse, and a baby leaves the body during birth.
The hymen is a thin layer of tissue that surrounds and partially covers the vaginal opening. Sexual intercourse or exercise can stretch or tear it.
The cervix connects the uterus to the vagina. A small hole in the cervix allows menstrual blood and sperm to pass through. During childbirth, the cervix dilates.
The vagina expands through arousal and sexual stimulation. During sexual arousal, the uterus and cervix lift upward, elongating the vagina. People refer to this process as tenting.
The Bartholin’s glands are on either side of the vaginal opening. People cannot usually see or feel these glands. During arousal, the glands release fluid that lubricates the vagina.
The Gräfenberg spot, or G spot, sits a few inches inside the vagina at the front. During arousal, the G spot swells.
The area visible externally, the vulva, is what many people refer to as the vagina. However, the only part of the vagina visible outside of the body is the vaginal opening. The vulva includes the labia minora and majora, or the “lips,” which protect the vaginal opening. Learn more about the vulva here.
A person can carry out a self-exam of their vagina to check for any unusual changes that may indicate a health issue. Self-exams are helpful alongside regular gynecologist pelvic examinations and cervical screening.
People can carry out a self-exam of their vagina when they are not menstruating. For a self-exam, they will need:
People can carry out a self-exam by following these steps:
Vaginal discharge can change slightly in consistency and color during the menstrual cycle, pregnancy, and menopause. Healthy discharge is usually clear to white or pale yellow, and it can have a mild odor.
If a person notices any significant change in their vaginal discharge, this could indicate an underlying issue. The individual can see their doctor for a checkup and report any other symptoms.
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A range of conditions can affect the vagina and how it looks and feels inside. Signs and symptoms of conditions affecting the vagina may include unusual discharge, pain, or visible changes.
Here are some health conditions that may affect the inside of the vagina:
Vaginitis is an inflammation or irritation of the vulva or vagina. There are many causes, including sexual activity, reduced estrogen levels, or douching. Symptoms of vaginitis include:
Vaginismus is a sudden tightening of the muscles surrounding the vagina that occurs when a person tries to insert something into it. Vaginismus is an automatic response of the body over which the person has no control.
Sexually transmitted infections (STIs) can cause symptoms in and around the vagina. Many of these STIs may appear without noticeable symptoms, or they may seem similar to other conditions, such as vaginal infections.
Due to the overlap in symptoms between different STIs, it is not usually possible to diagnose one based on the symptoms alone. Therefore, anyone who experiences symptoms in this part of the body should visit a healthcare professional to undergo diagnostic tests.
Some STIs that affect vaginal health include:
If people have trichomoniasis, they may experience:
Gonorrhea shares symptoms with vaginal infections. Although some people with this STI will not experience any symptoms, those who do may noticeTrusted Source:
Chlamydia does not always produce symptoms, but when it does, these may includeTrusted Source:
An overgrowth of yeast and bacteria in the vagina can cause infections, including:
Symptoms of a vaginal infection include:
Vaginal cancer can cause symptoms if it spreads deeper into the walls of the vagina or the surrounding areas. Symptoms include:
In some cases, a person may have vulvar cancer, which can also cause painful sexual intercourse, bleeding, and pain, among other symptoms. However, both of these cancers are rare.
Vaginal prolapse happens when the uterus, bladder, or bowel descends into the vagina. Vaginal prolapse can occur as a result of pregnancy, childbirth, or an existing medical condition.
Higher stages of prolapse can cause symptoms, which include:
The vagina is an elastic tube that connects the uterus and cervix to the vulva. The shape, size, and color of the vagina can vary among individuals.
Anyone who notices any unusual symptoms, such as growths, in or around their vagina should see their doctor or gynecologist for a checkup. Signs of a health issue may include:
People can also carry out a self-exam of their vagina to check for any unusual changes or growths. However, self-exams should not replace regular pelvic examinations with a healthcare professional.
Last medically reviewed on March 17, 2020
Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
Medically reviewed by Carolyn Kay, M.D. — Written by Beth Sissons on March 17, 2020
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