Hello. The painful swollen lump between the vagina and anus can be due to two reasons. First, it could be the
result of trauma due to a harsh intercourse. Second, it could be hemorrhoids. Hemorrhoids are swollen and
inflamed veins around the anus or lower rectum. Thrombosed external hemorrhoids can cause bleeding, painful
swelling or a hard lump around the anus. Hemorrhoids are very common during pregnancy. Consult your
gynecologist who can examine you to make the diagnosis. Treatment of hemorrhoids consists of high fiber diet,
plenty of liquids to drink, avoiding constipation, sitz bath (sit in a tub of warm water) and certain creams
(to relieve the pain and itching). Take care.