Skin Issues: What to Do About Painful Bumps in the Pubic Area - Dermatology

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Genital issues


I have a red and swollen bump in the pubic area that looks like a blister.
It has been there for three to four days.
I haven't scratched it, but it is peeling a bit and hurts when pressed, although it feels fine when not touched.
I've been applying Mentholatum, but I'm not sure which specialist to see—gynecology or dermatology?

Yueyue, 10~19 year old female. Ask Date: 2016/05/15

Dr. Wu Yuxin reply Dermatology


Gynecology.

Reply Date: 2016/05/15

More Info


When dealing with painful bumps in the pubic area, it’s essential to consider several potential causes and appropriate actions to take. Based on your description, the bump appears to be red, swollen, and possibly blister-like, which could indicate a few different conditions. Here’s a breakdown of what you might be experiencing and what steps you can take.


Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as red, swollen bumps that may resemble pimples or blisters. It’s common in areas where hair is present, including the pubic region.

2. Ingrown Hair: Sometimes, hair can grow back into the skin, leading to irritation and the formation of a painful bump. This is particularly common in areas that are shaved or waxed.

3. Cysts: Sebaceous cysts can occur in the pubic area and may become inflamed or infected, leading to pain and swelling.

4. Herpes Simplex Virus (HSV): If the bump is blister-like and painful, it could potentially be a herpes outbreak. This condition is characterized by painful blisters that can break open and crust over.

5. Contact Dermatitis: This is a skin reaction resulting from contact with an irritant or allergen, which can cause redness, swelling, and sometimes blistering.

6. Other Infections: Conditions such as sexually transmitted infections (STIs) can also present with similar symptoms, so it’s important to consider this possibility.


Recommended Actions
1. Avoid Irritation: Refrain from scratching or picking at the bump, as this can lead to further irritation or infection. Wearing loose-fitting clothing can help minimize friction in the area.

2. Topical Treatments: Applying a soothing ointment, such as hydrocortisone cream or an antibiotic ointment, may help reduce inflammation and prevent infection. However, be cautious with any product you apply, especially in sensitive areas.

3. Warm Compresses: Applying a warm compress to the area can help alleviate pain and promote drainage if the bump is a cyst or infected follicle.

4. Monitor Symptoms: Keep an eye on the bump for any changes. If it starts to drain, becomes increasingly painful, or shows signs of spreading redness, it’s crucial to seek medical attention.

5. Consult a Healthcare Provider: Given the sensitive nature of the area and the potential for various underlying conditions, it’s advisable to consult a healthcare professional. You can see a dermatologist for skin-related issues or a gynecologist for concerns specifically related to the genital area. They can provide a proper diagnosis and treatment plan.

6. Testing for STIs: If there’s any concern about sexually transmitted infections, it’s important to get tested. Many STIs can present with similar symptoms, and early treatment is crucial.


Conclusion
In summary, while there are several potential causes for the painful bump in your pubic area, it’s essential to approach the situation with care. Avoid irritation, consider topical treatments, and monitor the bump for changes. Most importantly, don’t hesitate to seek medical advice from a dermatologist or gynecologist, as they can provide a thorough examination and appropriate treatment options. Taking these steps will help ensure that you address the issue effectively and maintain your overall health.

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