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Purple black vagina & endometriosis

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my vagina is purplish black and I have not had sex recently, since summer, and my abdomen feels odd. any idea what is wrong? I really need to know, It scares me.

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replied November 3rd, 2008
Vaginal and Uterus Health Answer A4800
You wrote: "List of other diseases, conditions, or injuries and their treatment: depression, anxiety,treated with effexor xr 75mg. irregular period, treated with birthcontrol. odd vaginal color, purple/black. no diagnosis.

Current medical status: fairly well, no recent doctor visits, odd feeling in abdomen around belly button, odd coloring normally pink vagina is now partially purpole/black.( never felt this before but I do have nerve damage around my belly button from previous operations.)"

The symptoms you describe such as a purplish vaginal colour and an “odd” abdominal feeling may present themselves as probable, but unsure, signs of pregnancy. But this seems highly unlikely in your case, given the data you provided about your last menstrual period and the lack of sexual intercourse for a longer period of time. It's not likely that you are pregnant.

In extremely rare case-reports, evidence has shown that partially bluish/purplish colour changes of normally pink vaginal walls might be due to vaginal haemangioma, a localized benign tissue mass that grows rich in small blood vessels (capillary haemangioma-composed nearly entirely of tiny capillary vessels; cavernous haemangioma-composed of blood-filled "lakes" and channels). Symptoms of this condition include irregular vaginal bleeding (light-red blood without clots) and/or painful intercourse. Such localisation is quite rare and might require clinical follow-up via vaginoscopy, biopsy and microscopic examination of bioptic tissue to prove or exclude the condition. There are two possible treatments: non-surgical (arterial embolization) and surgical (extraction).

Given the data you provided, it most likely seems that you are experiencing endometriosis, which is the presence of estrogen-dependent endometrial-like tissue. This tissue appears on various abdominal localizations outside its normal resting place - the uteral cavity. To be exact, the endometrium is a normal inner lining of the uteral cavity, which is expelled monthly by menstruation). The condition is present in 10% of all women in their reproductive years, who might be experiencing some of the following changes: dysmenorrhoea-PMS that starts few days before the onset of menstrual bleeding, uncomfortable and/or painful intercourse, abnormal vaginal bleeding, painful urinating/defecating, infertility (in nearly 50% of women with endometriosis) and tumour-like formation in lower abdomen.

The condition requires inspection via bimanual digital examination, vaginal and abdominal ultrasound and, in some cases, diagnostic laparoscopy done by a specialist in gynecology, who may prescribe various but adequate kinds of treatment. You might consider an immediate follow up with your gynecologist.

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