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The location does shed a bit more light on what might be the foundation of a painful lump between the vagina and rectum, most likely it is: Leiomyomas. These are small masses of benign muscle tissue that form in almost any organ, but are most common in the uterus or vaginal area. This super common condition is when the hair follicle becomes inflamed. Small, pimple-like bumps can pack a big punch when it comes to pain. In about 2 percent of woman, the gland becomes infected and quite painful.