Unusual Bump on Pubic Hair: What Could It Be?

There is a hair in the pubic area?

Hello, I recently noticed a round, ball-like lump above my pubic hair.
It doesn't hurt and I don't feel any discomfort, but when I touch it while showering, it feels strange.
I initially thought it might be a pimple, but I can't really see it; I can only feel it when I touch it.
It feels like it's under the skin.
I would like to know what it could be—is it a pimple or something like a comedo? It has been there for about 4 to 5 days.
Thank you.

Qingqing, 20~29 year old female. Ask Date: 2017/05/06

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to determine how to address it.

Reply Date: 2017/05/06

More Info

When it comes to unusual bumps in the pubic area, there are several possibilities to consider. Given your description of a round, painless bump that feels like it is beneath the skin, it could be a variety of conditions, including but not limited to:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can present as small, red bumps or pus-filled blisters, but in some cases, it may feel like a hard lump under the skin.

2. Sebaceous Cyst: These are common, non-cancerous lumps that can occur anywhere on the body, including the pubic area. They are usually painless and can feel like a small, round bump under the skin. Sebaceous cysts are filled with a fatty substance and can sometimes become inflamed or infected.

3. Ingrown Hair: If you have recently shaved or waxed the area, an ingrown hair can occur, leading to a bump that may feel like a small cyst or pimple. This can happen when hair grows back into the skin instead of out of the follicle.

4. Lymphadenopathy: Sometimes, swollen lymph nodes can present as bumps in the groin area. If you have any accompanying symptoms like fever or systemic illness, this could be a sign of an infection or other medical condition.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps in the genital area. They are usually painless but can be bothersome.

6. Molluscum Contagiosum: This is a viral infection that results in small, painless bumps on the skin, which can occur in the genital area. They are typically flesh-colored and have a dimpled center.

Since the bump has been present for about 4 to 5 days and is not causing pain or discomfort, it is likely benign. However, it is essential to monitor the bump for any changes in size, color, or sensation. If it becomes painful, starts to drain, or if you notice any other concerning symptoms (such as fever or systemic changes), it would be wise to seek medical attention.

In terms of treatment, if the bump is indeed a sebaceous cyst or folliculitis, warm compresses can help reduce inflammation and promote drainage if it becomes infected. Avoid squeezing or picking at the bump, as this can lead to further irritation or infection.

For a definitive diagnosis, especially if the bump persists or changes, it is advisable to consult a healthcare provider. They may perform a physical examination and, if necessary, conduct further tests such as a biopsy or culture to determine the exact nature of the bump.
In summary, while the bump you describe is likely benign, it is essential to keep an eye on it and consult a healthcare professional if you have any concerns or if it changes in any way. Regular self-examinations and awareness of your body can help you catch any potential issues early.

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