Skin Issues: When to Seek Medical Advice for Genital Concerns

Genital issues

Previously, I had a bump on the right side of my genital area that looked like a pimple and was black in color.
One time, while examining it, I accidentally squeezed it, and pus came out, but it hasn't healed since then and remains black.
Occasionally, it feels like the skin is broken, and it hurts when touched.
Recently, due to my menstrual cycle, it has been painful from friction.
Should I see a doctor, or will it heal on its own?

Zhen., 10~19 year old female. Ask Date: 2017/04/22

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and determine the appropriate course of action.

Reply Date: 2017/04/22

More Info

When it comes to skin issues, particularly those concerning the genital area, it is essential to approach the situation with caution and awareness. Your description of a black, pimple-like lesion on the right side of your genital area that has not healed after being squeezed, and which occasionally breaks open and causes pain, raises several important considerations.

Firstly, any persistent skin lesion in the genital area warrants a medical evaluation. While some skin issues may resolve on their own, others can indicate underlying conditions that require treatment. The fact that the lesion has not healed and has caused pain, especially with friction from menstruation, suggests that it may be more than a simple pimple or irritation.
There are several potential causes for a lesion like the one you described. It could be a sebaceous cyst, which is a common benign growth that can occur in the genital area. These cysts can become inflamed or infected, leading to pain and discharge. Alternatively, it could be a folliculitis, which is an inflammation of the hair follicles that can result in painful, pus-filled bumps. Another possibility is a sexually transmitted infection (STI), which can present as lesions or sores in the genital area. Conditions such as herpes or genital warts could also manifest in this way.

Given the symptoms you have described, it is advisable to seek medical advice from a healthcare professional, preferably a dermatologist or a gynecologist. They can perform a thorough examination, possibly including a biopsy or cultures if necessary, to determine the exact nature of the lesion. This is crucial not only for your peace of mind but also for your health, as some conditions may require specific treatments to prevent complications or further issues.

In the meantime, it is important to avoid squeezing or picking at the lesion, as this can lead to further irritation, infection, or scarring. Keeping the area clean and dry is essential, and wearing loose-fitting clothing can help minimize friction and discomfort. If you experience any additional symptoms, such as fever, increased pain, or spreading redness, you should seek medical attention promptly.

In summary, while some skin issues may resolve on their own, the characteristics of your lesion suggest that it would be wise to consult a medical professional. Early intervention can lead to better outcomes and help you avoid potential complications. Remember, your health is paramount, and seeking advice when in doubt is always the best course of action.

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