The vagina itself is not smooth in women of childbearing age because it stretches very well to accommodate labor so that the fetus can be delivered from the vagina, so the vagina of a woman of childbearing age will have many wrinkled walls that are just not smooth to the touch. This is a normal physiological phenomenon and can be done without clinical intervention. When a woman enters menopause, the body’s estrogen decreases, the vaginal mucosa will become thinner, the folds will disappear, and when you touch the vaginal wall with your hand, you feel that the vaginal wall is smooth. So for the state of the vaginal wall is not smooth, clinically it can not need to be dealt with. However, if you feel small bumps in the vagina with your hand, you must go to the hospital for examination to rule out the possibility of vaginal warts. This condition is often accompanied by increased vaginal discharge and vulvar itching, and clinically requires laser treatment.