Hard Bumps Above the Genitals: When to Seek Dermatological Help - Dermatology

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There is a hard lump above the genital area?


Hello, doctor.
Two years ago, I developed a small hard lump in the genital area (likely on the skin above the pelvis).
The surface is smooth and hairless, and it doesn't hurt when pressed.
Occasionally, I experience a tingling sensation or itchiness in the surrounding skin.
I have had other small lumps in the past that gradually grew larger and eventually drained pus before disappearing.
However, this lump is hard and has been present for a long time, showing no signs of rupturing or shrinking.
I previously researched online and it seems similar to a sebaceous cyst.
Although it doesn't affect my daily life much, I still have questions about what it could be.
Do I need to see a doctor? (Given the location, I would prefer not to see a doctor if it’s not serious.) Is surgery necessary? Should I consult a dermatologist? Is it advisable to leave it alone? (So far, it seems to be unchanged.)

xuesheng, 10~19 year old female. Ask Date: 2018/08/02

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If you are very concerned, it is advisable to seek medical attention.
The following questions will be hypothetical and cannot be answered.

Reply Date: 2018/08/02

More Info


When it comes to understanding hard bumps above the genitals, particularly in the pelvic area, it is essential to approach the situation with caution and awareness of potential underlying issues. Based on your description, it sounds like you may be dealing with a sebaceous cyst or an epidermoid cyst, which are common benign skin growths. These cysts can appear as smooth, firm lumps under the skin and are often painless. However, they can sometimes become inflamed or infected, leading to discomfort or changes in appearance.

Sebaceous cysts are typically filled with a substance called sebum, which is produced by sebaceous glands. They can occur anywhere on the body, including the genital area, and are usually harmless. However, if you notice any changes, such as increased size, pain, or signs of infection (like redness, warmth, or discharge), it is crucial to seek medical attention.

Given that you have experienced similar bumps in the past that eventually resolved, it is understandable to feel uncertain about whether to seek help this time. However, the fact that this particular bump has persisted for a long time without any signs of resolution warrants a closer look. While it may not be causing significant discomfort now, the potential for complications, such as infection or the development of a more serious condition, should not be overlooked.

In terms of when to seek dermatological help, here are some guidelines:
1. Duration: If a bump has been present for more than a few weeks without any signs of improvement, it is advisable to consult a dermatologist. Persistent lesions can sometimes indicate underlying issues that need to be addressed.

2. Changes in Appearance: If the bump changes in size, color, or texture, or if you experience new symptoms such as pain or itching, these are red flags that should prompt a visit to a healthcare provider.

3. Signs of Infection: If you notice any signs of infection, such as increased redness, warmth, swelling, or discharge, it is essential to seek medical attention promptly.

4. Personal Concerns: If the bump is causing you anxiety or concern, it is always better to err on the side of caution and consult a healthcare professional. Your peace of mind is important.

Regarding the type of doctor to see, a dermatologist is indeed the appropriate specialist for skin-related issues. They can perform a thorough examination and, if necessary, a biopsy to determine the nature of the bump. In some cases, if the cyst is bothersome or shows signs of infection, surgical removal may be recommended.

In conclusion, while it may be tempting to ignore a bump that does not currently cause significant discomfort, it is wise to have it evaluated by a dermatologist, especially given its persistence. Early intervention can prevent potential complications and provide you with clarity regarding your health. Remember, it is always better to be proactive about your health, even if it means addressing an issue that seems minor at first glance.

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