External Genital Bumps: Causes and Home Remedies - Obstetrics and Gynecology

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Genital issues


Hello doctor, I have a question: I found a protrusion on the outer right side of my genital area, which I had noticed before but it wasn't painful or causing any discomfort.
On the night of August 13, I accidentally touched it again and out of curiosity, I used a needle to poke it.
At first, there wasn't much bleeding, but when I squeezed it hard, some blood came out, although not a lot.
After that, I couldn't tell if the pain was from the needle puncture or the protrusion itself.
Around noon on August 14, I checked again and it hadn't reduced in size; it still felt like the protrusion was there and had become swollen.
I then used the needle to poke deeper and squeezed the protrusion, and after a long time, some blood mixed with a slightly white fluid came out.
I want to know if this could be pus.
I continued to squeeze for a long time, and after taking a shower, I still couldn't tell if the pain was from the needle puncture, the squeezing, or the protrusion itself, which was still swollen.
After applying ice, the entire right side of my genital area became swollen and painful.
I'm hesitant to see a gynecologist and would like to know what this condition might be and if there are any topical ointments I can apply.
(I want to emphasize that this is not inside the genital area, but on the outside right side where hair grows, and the protrusion was originally small but has swollen due to squeezing.) I hope to receive some advice and help.
Thank you.

123, 30~39 year old female. Ask Date: 2016/08/14

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss 123: I suspect that the protrusion you described in the right vulvar hair area is likely caused by folliculitis.
Additionally, the blood and white discharge you mentioned when you punctured it could be the white powdery substance formed after a period of folliculitis, which is referred to as a sebaceous cyst in Taiwan.
The subsequent redness and swelling of the protrusion may indicate that your needle was not properly sterilized, or that the local skin was not disinfected, leading to an infection.
However, a detailed examination by a physician is necessary for an accurate diagnosis.
The increased size and pain in the right labia suggest that the condition may be somewhat serious, and you should consult a gynecologist.

Reply Date: 2016/08/14

More Info


Understanding external genital bumps can be a source of concern for many individuals, and it's important to approach the situation with care and knowledge. Based on your description, it sounds like you have a bump in the external genital area that has been manipulated, leading to increased swelling and pain. Here’s a comprehensive overview of potential causes, home remedies, and when to seek medical attention.


Possible Causes of External Genital Bumps
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as small, red bumps that may be itchy or painful. Manipulating the area can exacerbate the condition.

2. Cysts: Sebaceous cysts are common and can occur in the genital area. They are usually painless and filled with a thick, oily substance. If they become inflamed or infected, they can cause pain and swelling.

3. Abscess: If there was an infection, the bump could be an abscess, which is a collection of pus that forms due to infection. This can be painful, swollen, and may require drainage.

4. Warts or Molluscum Contagiosum: These are viral infections that can cause bumps in the genital area. They may not be painful but can be concerning due to their appearance.

5. Skin Tags: These are benign growths that can appear in various areas, including the genital region. They are usually painless but can become irritated.

6. Herpes or Other STIs: If the bump is accompanied by other symptoms such as pain, itching, or discharge, it could be related to a sexually transmitted infection.


Home Remedies
While it’s essential to consult a healthcare provider for a definitive diagnosis and treatment, there are some home remedies you can consider to alleviate discomfort:
1. Warm Compress: Applying a warm compress to the area can help reduce swelling and promote drainage if there is an abscess.

2. Avoid Manipulation: It’s crucial to avoid further squeezing or poking at the bump, as this can lead to more irritation or infection.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

4. Topical Antibiotics: If there is a break in the skin, applying an over-the-counter antibiotic ointment may help prevent infection.

5. Hygiene: Keeping the area clean and dry is important. Use mild soap and avoid harsh chemicals or fragrances that can irritate the skin.

6. Ice Packs: If there is significant swelling, applying an ice pack wrapped in a cloth can help reduce inflammation.


When to Seek Medical Attention
Given that the bump has increased in size and has become painful, it is advisable to seek medical attention. Here are specific signs that warrant a visit to a healthcare provider:
- Persistent Pain: If the pain does not subside or worsens.

- Increased Swelling or Redness: This could indicate an infection.

- Fever: If you develop a fever, it may suggest a systemic infection.

- Discharge: If there is pus or any unusual discharge from the bump.

- Changes in Appearance: If the bump changes color, becomes hard, or develops a crust.


Conclusion
While it can be daunting to address issues related to genital health, it is crucial to prioritize your well-being. The bump you described could be due to various causes, and while home remedies may provide temporary relief, a healthcare professional can offer a proper diagnosis and treatment plan. It’s important to approach this with care, as self-treatment without understanding the underlying cause can lead to complications. Don’t hesitate to reach out to a gynecologist or a healthcare provider for a thorough evaluation. Your health is paramount, and seeking professional advice is the best course of action.

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