Bumps in Women's Intimate Areas: Causes and Concerns

The presence of small bumps in the female genital area?

Doctor, I have recently noticed some black, soft lumps appearing in my genital area.
When I squeeze them, they bleed, and sometimes they itch, prompting me to scratch them.
What could this be?

Ting, 10~19 year old female. Ask Date: 2016/06/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely to be folliculitis.
It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid wearing tight clothing.
You may soak in a bath to alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/06/10

More Info

When it comes to bumps in women's intimate areas, there are several potential causes that can lead to discomfort, pain, or unusual symptoms. Based on your description of experiencing black, soft bumps that bleed when squeezed, it is essential to consider a few possibilities.
One common cause of such bumps could be sebaceous cysts. These are non-cancerous lumps that can form under the skin when a sebaceous gland becomes blocked. They can appear soft and may sometimes become inflamed or infected, leading to pain and bleeding if they are squeezed. Another possibility is folliculitis, which is an inflammation of hair follicles that can cause red, swollen bumps that may also ooze or bleed if irritated.
Additionally, warts or genital warts caused by the human papillomavirus (HPV) could also present as soft, raised bumps in the genital area. These can vary in color and texture and may bleed if they are irritated. Given that you mentioned having received the HPV vaccine, it is worth noting that while the vaccine significantly reduces the risk of certain strains of HPV, it does not protect against all types.

Another concern could be herpes simplex virus (HSV), which can cause painful blisters or sores in the genital area. These lesions can sometimes appear as bumps and may bleed if they are ruptured or scratched.
Lastly, bartholinitis or a Bartholin gland cyst could also be a consideration. The Bartholin glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst that may become painful and swollen.

Given the variety of potential causes, it is crucial to seek medical attention from a healthcare provider, preferably a gynecologist, who can perform a thorough examination and possibly conduct tests to determine the exact nature of the bumps. They may recommend treatments ranging from topical medications to surgical options, depending on the diagnosis.

In the meantime, it is advisable to avoid squeezing or picking at the bumps, as this can lead to further irritation or infection. Maintaining good hygiene and wearing breathable, cotton underwear can also help reduce irritation in the genital area.

In summary, while there are several possible explanations for the bumps you are experiencing, a professional evaluation is necessary to provide an accurate diagnosis and appropriate treatment. Your health and comfort are paramount, so do not hesitate to reach out to a healthcare provider for assistance.

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