Painful Labial Swelling: When to See a Gynecologist

There is a lump on the labia majora?

Hello doctor, I have noticed a small lump on the front of my labia majora, above the clitoris, over the past couple of days.
It is painful to touch, and it also hurts when it gets rubbed.
Additionally, I often have a lot of discharge.
What could be wrong with me? Do I need to see a gynecologist? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/03/15

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to provide a diagnosis based on what you've described.
If you continue to experience discomfort, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2017/03/15

More Info

When it comes to painful labial swelling, particularly in the area of the labia majora and clitoris, it is essential to approach the situation with caution and awareness of potential underlying conditions. The presence of a painful lump in the labia majora, especially if it is accompanied by increased discharge, could indicate several possibilities, including but not limited to infections, cysts, or other dermatological issues.

One common cause of labial swelling and pain is a Bartholin's cyst. The Bartholin glands are located at the 4 o'clock and 8 o'clock positions of the vaginal opening and are responsible for secreting fluid that helps lubricate the vagina. If these glands become blocked, fluid can accumulate, leading to a cyst. If the cyst becomes infected, it can cause significant pain and swelling, and may require medical intervention.

Another possibility is an infection, such as a yeast infection or bacterial vaginosis, which can lead to increased discharge and irritation in the genital area. Sexually transmitted infections (STIs) such as herpes or gonorrhea can also present with similar symptoms, including painful swelling and discharge. It is crucial to consider your sexual history and any potential exposure to STIs when evaluating your symptoms.

Additionally, dermatological conditions such as lichen sclerosus or vulvar dermatitis can cause swelling and discomfort in the labial area. These conditions may require specific treatments to alleviate symptoms and prevent further irritation.

Given the symptoms you are experiencing—a painful lump and increased discharge—it is advisable to see a gynecologist. A healthcare professional can perform a thorough examination, which may include a pelvic exam and possibly laboratory tests to determine the cause of your symptoms. Early diagnosis and treatment are essential, especially if an infection or other significant condition is present.

In summary, while some causes of labial swelling may resolve on their own, the presence of pain and changes in discharge warrant a visit to a gynecologist. They can provide a proper diagnosis and recommend appropriate treatment options. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.

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