Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor. I am 39 weeks pregnant. About 5 days ago (Sunday), I was taking a shower and noticed a bump on my vaginal lip (left side). I immediately grew concerned about it and asked my husband to look at it. He said it was black and looked like a blood blister and it was in the shape of a perfect circle. At that time it didn t hurt. I was worried so I brought it up to my doctor on Tuesday. She glanced at it and said that it was just a mole . Me and my husband were relieved. But later on the next day, it just didn t sit right with me. I got a mirror and a light and looked down there to see what, if anything, had changed. I noticed that another bump was growing in right next to it. It looked exactly the same, only smaller. The initial bump was getting to be a little tender to the touch. I really freaked out. I worried about it all day yesterday and decided to check myself again this morning. So, I got my mirror and light and, from what I can see, I have another 3 or 4 dark bumps or patches coming in on my left vaginal lip. I am getting really scared now. Is there any advice you can give me of what it could be? Should I call my doctor and demand a second opinion or should I head to an E.R.? Can this effect my baby? Any feedback would be greatly appreciated. Thank you.
[|AI|]  Hi there,If the bumps are not hurting you much, please do not be worried. These are dilatation of the veins (blood vessels) in the vagina. During pregnancy the amount of blood flow to the vagina increases this causes this dilatation of the veins. Also, the progesterone hormone whose level increase in pregnancy causes a dilatation of the wall of the blood vessels resulting in thicker vessels which look bluish. These will go away soon after delivery, and as you are at 39 weeks already, you may deliver soon. If at all episiotomy is required during delivery the veins can be avoided to prevent excess blood loss. These will not affect your baby. Hope this helps. Regards.