Q I'm 28 and have recently noticed numerous new small hard bumps in my vagina. There was one the size of a hard pea previously. They can't be seen but are felt. So I don't think they are caused by ingrown hair or shaving or sexually transmitted disease as I've never had sex.

There is a history of cancer-related cervical abnormalities and polyps on my mother's side of the family. I've recently had some bleeding in these areas. Is there a cause for concern given my age? When should sexually inactive women do vaginal self-exams and see a gynaecologist?

A Your problem is unlikely to be cancer-related as cancers that arise from the vagina are extremely rare and your age makes it an even more remote possibility.

From your description, it is difficult to be sure of the nature and the specific location of these bumps. These bumps along the length of the vagina could be Gartner's duct cysts.

These benign cysts form from remnant tissue that were involved in the formation of the vagina when you were a foetus. Gartner's duct cysts do not generally need to be removed unless they are causing discomfort, bleeding or are the source of otherwise troublesome symptoms.

Another common possibility is endometriosis of the vagina or vulva. This is a benign condition where normal tissue from the lining of the womb is abnormally located. Endometriotic implants can swell, bleed and otherwise be the source of tenderness. Symptoms can fluctuate with a woman's monthly cycle and hormonal variation.

Cervical cancer is rare in women who have never had sex and is not hereditary.

I suggest that you visit a gynaecologist for a proper examination.