Persistent Skin Bumps in the Pubic Area: Causes and Concerns - Obstetrics and Gynecology

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When it comes to persistent skin bumps in the pubic area, there are several potential causes that could explain the symptoms you're experiencing. Given that you mentioned a flesh-colored bump that has not gone away for a long time and that you previously attempted to squeeze it, which resulted in bleeding, it is important to consider a few possibilities.

One common cause of such bumps in the pubic area is a sebaceous cyst. These cysts are typically benign and occur when a hair follicle becomes blocked, leading to the accumulation of sebum (the oily substance produced by sebaceous glands). They can appear as small, flesh-colored bumps and may become inflamed or infected, causing discomfort or pain. If squeezed, they can bleed, but this is not advisable as it can lead to infection or scarring.

Another possibility is a condition known as folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles, often presenting as red or flesh-colored bumps that may be itchy or painful. Folliculitis can be caused by various factors, including friction from clothing, shaving, or bacterial infections.

Additionally, you might be experiencing a condition called molluscum contagiosum, which is a viral infection that results in small, flesh-colored bumps with a dimpled center. While it is often associated with sexual activity, it can also be contracted through non-sexual means, such as sharing personal items or skin-to-skin contact. However, since you mentioned that you have not engaged in sexual activity, this may be less likely.

Another consideration is the possibility of a benign growth, such as a dermatofibroma or a lipoma. Dermatofibromas are firm, raised nodules that can appear on the skin and are usually harmless. Lipomas are soft, fatty lumps that can develop under the skin and are also benign.

Given the persistence of the bump and the fact that it has not resolved on its own, it is advisable to seek medical evaluation from a healthcare professional, preferably a dermatologist. They can perform a physical examination, and if necessary, a biopsy to determine the exact nature of the bump. This is particularly important if there are any changes in size, color, or if it becomes painful.

In the meantime, avoid squeezing or picking at the bump, as this can lead to further irritation or infection. Keeping the area clean and dry is essential, and if you notice any signs of infection (such as increased redness, warmth, swelling, or pus), seek medical attention promptly.

In summary, while there are several potential causes for the persistent flesh-colored bump in your pubic area, a proper diagnosis can only be made through a clinical evaluation. Conditions like sebaceous cysts, folliculitis, molluscum contagiosum, or benign growths are all possibilities. It is crucial to consult with a healthcare provider to receive appropriate treatment and peace of mind.