Lumps on the Labia and Perineum: What You Need to Know

There is a growth on the labia and perineum that appears to be a series of raised bumps?

Hello, doctor.
A few days ago, while taking a shower, I noticed a hard lump in my genital area.
At first, I didn't think much of it since it wasn't painful and I didn't feel anything unusual, so I forgot about it.
However, last night while showering again, I felt it again and looked in the mirror.
At first glance, it appeared to be a raised area about 0.5 cm long extending from the labia to the perineum.
Upon closer inspection, I saw that it was made up of four or five connected irregularly shaped lumps that were similar in color to my skin and felt hard.
They don't hurt when I touch them and I don't experience any pain otherwise.
I'm very worried about what this could be, whether it's a disease or an infection.
Since I'm currently in a foreign country and it's inconvenient to seek medical attention, could you please advise me on what this might be? If I return to Taiwan for a consultation in about four months, will it be too late? Thank you for your help.

Alice, 20~29 year old female. Ask Date: 2016/05/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, if those tissues do not cause any specific symptoms, you may schedule relevant examinations with a gynecologist when time permits to determine if treatment is necessary.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/05/14

More Info

When it comes to lumps on the labia and perineum, there are several potential causes that could explain the symptoms you are experiencing. Given that you have noticed a hard lump or multiple lumps that are not painful and resemble skin in color, it is important to consider a few possibilities.

1. Sebaceous Cysts: These are common benign lumps that can occur in the genital area. They are usually small, firm, and can be skin-colored. They occur when sebaceous glands become blocked, leading to the accumulation of sebum. Sebaceous cysts are typically harmless and do not require treatment unless they become infected or bothersome.

2. Folliculitis: This is an inflammation of the hair follicles, which can lead to small, firm bumps that may resemble lumps. Folliculitis can be caused by bacterial or fungal infections, and while it may not always be painful, it can cause discomfort or itching.

3. Lymphadenopathy: Swollen lymph nodes in the groin area can sometimes present as lumps. This can occur due to infections or other underlying conditions. If the lumps are related to lymph nodes, they may be more mobile and could change in size.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, firm bumps. They may not be painful but can vary in appearance and size.

5. Bartholin's Gland Cysts: These cysts occur when the Bartholin's glands, located on either side of the vaginal opening, become blocked. They can form lumps that may or may not be painful.

6. Other Conditions: There are other less common conditions, such as molluscum contagiosum or even skin tags, that could also present as lumps in the genital area.

Given that you are currently unable to seek medical attention, it is advisable to monitor the lumps for any changes in size, color, or sensation. If they become painful, increase in size, or if you develop other symptoms such as fever or unusual discharge, it would be important to seek medical attention as soon as possible.

Regarding your concern about whether you can wait until you return to Taiwan in four months to see a doctor, it largely depends on the stability of the lumps. If they remain unchanged and do not cause any discomfort, it may be reasonable to wait. However, if you experience any new symptoms or changes, it would be prudent to seek medical evaluation sooner, even if it means finding a local healthcare provider.

In conclusion, while the lumps you describe are likely benign, it is essential to remain vigilant and seek medical advice when possible. A healthcare professional can provide a proper diagnosis and recommend treatment if necessary. In the meantime, maintaining good hygiene and avoiding any irritation to the area can help manage any discomfort.

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