32 weeks pregnant after straining to defecate there seems to be granulation tissue in the vaginal opening is not necessarily normal, there may be normal vaginal wall tissue, but does not exclude vaginal organisms. 1. Vaginal wall tissue: 32 weeks of pregnancy belongs to the late pregnancy, due to the uterus to increase compression so that the abdominal pressure increases, coupled with defecation effort to make the front and back of the vaginal wall bulging out, which is a normal physiological phenomenon, if there is no pain, redness and swelling, do not need to be treated. 2. Vaginal organisms: 32 weeks pregnant after straining to defecate there seems to be granulation tissue in the vaginal opening, consider not to rule out the possibility of vaginal organisms, such as vaginal polyps, vaginal wall warts, etc., need to be treated by laser and other surgical procedures. After 32 weeks of pregnancy after straining to defecate, there seems to be granulation tissue in the vaginal opening, after excluding normal physiological conditions, it is recommended to consult a doctor for a clear diagnosis.