Soft Bumps Near the Genitals: Causes and Treatments - Dermatology

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Hard lump in the genital area?


Hello doctor, I previously had a pimple near my intimate area.
I accidentally scratched it while showering due to itching, and after the pain subsided, I didn't pay much attention to it.
After a while, I noticed that the original spot has turned into a small lump, which feels a bit soft and squishy to the touch, but it is neither painful nor itchy.
What should I do about it?

pinggu, 10~19 year old female. Ask Date: 2018/05/22

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 address it appropriately.

Reply Date: 2018/05/22

More Info


Soft bumps near the genitals can be concerning, but understanding their potential causes and appropriate treatments can help alleviate anxiety and guide you toward the right care. The soft bump you described could be due to several factors, including cysts, folliculitis, or even benign tumors like lipomas. Here’s a breakdown of possible causes and recommended actions:

Possible Causes
1. Sebaceous Cysts: These are common, non-cancerous lumps that can form when sebaceous glands become blocked. They are typically soft, movable, and painless.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can lead to small, red bumps that may feel tender.

3. Lymphadenopathy: Swollen lymph nodes can sometimes present as soft bumps in the genital area, especially if there is an infection nearby.

4. Lipomas: These are benign tumors made of fat tissue. They are usually soft, movable, and painless.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as soft, fleshy bumps. They may be painless but can sometimes itch or cause discomfort.


Recommended Actions
1. Observation: If the bump is not painful, itchy, or growing rapidly, it may be safe to monitor it for changes. Many benign conditions resolve on their own.

2. Hygiene: Maintain good hygiene in the area to prevent infections. Gently wash with mild soap and water, and avoid harsh scrubs or irritants.

3. Avoid Picking: As you experienced, scratching or picking at the bump can lead to infection or inflammation. It’s best to leave it alone.

4. Warm Compress: If the bump becomes painful or shows signs of infection (redness, warmth, swelling), applying a warm compress can help reduce discomfort and promote drainage.

5. Over-the-Counter Treatments: If you suspect folliculitis, topical antiseptics or antibiotic ointments may help. However, consult a healthcare provider before applying any medication.

6. Consult a Healthcare Provider: If the bump persists, changes in size, or if you develop additional symptoms (such as pain, fever, or unusual discharge), it’s important to see a healthcare professional. They can perform a physical examination and may recommend further tests, such as a biopsy, if necessary.


When to Seek Immediate Care
- If the bump becomes painful or shows signs of infection (increased redness, warmth, swelling, or pus).

- If you experience systemic symptoms like fever or chills.

- If you notice any changes in your overall health or if new symptoms develop.


Conclusion
While soft bumps near the genitals can be concerning, many are benign and can be managed with simple observation and care. However, it’s crucial to remain vigilant and consult a healthcare provider if there are any changes or if you have concerns about the bump. Early diagnosis and treatment can help prevent complications and ensure peace of mind.

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