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Vulva warning signs — what to check and when to worry

August 19, 2026

Getting to know how your vulva normally looks and feels can make it easier to notice changes.
A structured vulva check can help you spot things such as new lumps, changes in colour or texture, ulcers, discharge, or irritation that does not settle.

Watch the full video for Vulva warning signs

How often should you check your vulva?  

Some recommendations suggest checking every month. Others advise at least every three months. The important thing is to have a regular, structured check rather than relying on everyday washing or shaving.

A proper check involves both:

  • Looking closely at the vulva.
  • Feeling for lumps, bumps, or areas that seem different.

You can use a mirror in a comfortable, well-lit position to make it easier to see the area clearly.

Woman checking the vulva for changes such as lumps, colour, texture, or irritation

What should you look for? 

A useful way to check is to work systematically rather than simply taking a quick look.

Look for changes in:

  1. Skin colour – notice any new or unusual areas of colour.
  2. Lumps and bumps – these can include cysts or warts.
  3. Texture – the skin may feel different, including feeling unusually dry or rough.
  4. Ulcers or sores – these are another change worth noticing.
  5. Discharge – particularly if it is unusual for you.
  6. Irritation – such as itching, stinging, burning, or discomfort.

The aim is not to diagnose anything yourself. It is about becoming familiar with what is normal for you, so that a change is easier to recognise.

One symptom not to ignore 

One of the most important warning signs is persistent vulval irritation.

This could feel like:

  • itching that does not go away
  • stinging or burning
  • a dull ache or pain
  • general discomfort that keeps coming back

If irritation or discomfort continues for more than two weeks and has not settled with usual measures, it is important to see a healthcare professional.

Some vulval conditions develop slowly, so a persistent change may be the first sign that something needs further assessment.

When should you seek medical advice? 

You do not need to work out what a change means on your own. If you notice something that is new, persistent, or unusual for you, speak to your doctor or healthcare team.

This is particularly important for a new lump, colour or texture change, ulcer, unusual discharge, or irritation that lasts more than two weeks.

Key takeaway

Know what is normal for your vulva so you can notice when something changes. Check regularly using a mirror and, where appropriate, by feeling for changes. Look out for new lumps, changes in colour or texture, ulcers, discharge, and persistent irritation.

If itching, stinging, burning, pain, or other discomfort does not settle after two weeks, seek medical advice rather than ignoring it.

More Reading

Review Date

This post will be medically reviewed by August 2028

About the Author

Dr Sylvia Kama-Kieghe (FRCGP, FRSM, FRSPH) is a UK-based NHS General Practitioner with over 15 years’ experience in family medicine and  women’s health. She is the founder of AskAwayHealth and works clinically in primary care, urgent care and digital health.

She is an honorary lecturer at the University of Sheffield Medical School, and involved in teaching and supervising trainee doctors. Her clinical practice includes a strong focus on menopause, menstrual and fibroid-related problems, vulval and vaginal  health, and preventive care for women across the life course.  

Dr Sylvia is the RCGP (Royal College of General Practitioners) 2026 Digital Champion and has been shortlisted multiple times for the CAHN Black  Healthcare Awards for her work in reducing  health inequalities. She also collaborates with the Patient Information Forum (PIF) on projects tackling online health misinformation and improving the quality of patient information.  

Through the AskAwayHealth YouTube channel , Substack and website, Dr Sylvia aims to provide clear, calm and clinically sound explanations that help women understand their symptoms, know which red flags to look for, and feel more confident when speaking to their own doctors.

⚠️ Important Disclaimer — If you notice changes to your vulva, or have anything that concerns you, speak to your doctor. This information is for educational purposes only and should not replace an assessment by a healthcare professional. 

PIF TICK logo with the words Trusted Information Creator and Patient Information Forum. There is a blue rectangular border with a big green tick.

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