Unlike healthy vaginal tissue, granulation tissue is often fibrotic and can cause local pain, inflammation, and bleeding. The presence of granulation tissue can also lead to pain and bleeding with intercourse, pelvic exam, or the use of tampons.

Why does granulation tissue hurt?

Hypergranulation tissue typically looks pink to dark red, it appears open, shiny or wet, appears puffy and can be painful. Causes of hypergranulation tissue include too much movement of the feeding tube, the stoma is wet, too much pressure on the stoma, trauma to the stoma, or an infection.

Does granulation tissue heal on its own?

Granulation tissue will usually settle on its own and does not require any treatment. Granulation tissue can sometimes be treated in a perineal or gynaecology clinic with a painless procedure using silver nitrate.