Common Gynecological Concerns: Questions About Symptoms and Diagnosis

I have some questions I would like to ask?

Hello Doctor, I apologize for bothering you, but I have some questions I would like to ask.
Q1.
There is a lump in my genital area.
The school nurse said it might be something like a pimple, but she didn't examine it directly; she only listened to my description.
I noticed it seemed to have burst while I was showering, as it is painful, but usually, it is not painful or itchy, and it doesn't cause any issues in my daily life.
There is only one lump.
Could it be a genital wart, or is it something else?
Q2.
I have quite a lot of pubic hair.
About three months ago, I experienced some itching in the pubic area, but scratching it only made it red.
If I scratch too hard, it starts to hurt, but otherwise, everything seems normal.
Could this be a sign of some disease, or is it just due to poor hygiene?
Q3.
Recently, I noticed that lump appeared before my period, and after my period ended, it seemed to shrink.
However, today I noticed some blood in my genital area, similar to the amount I have at the end of my period, but it was only that one instance, and there hasn't been any more bleeding.
Is this irregular menstruation, or could it be another condition?
I apologize for having so many questions.
I was quite alarmed during health class today, and I hope the doctor can provide some advice.
Thank you!

KK, 10~19 year old female. Ask Date: 2018/10/31

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely that you are experiencing contact dermatitis or folliculitis.
It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid wearing tight clothing.
You may soak in a bath to alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2018/10/31

More Info

Hello! Thank you for reaching out with your questions regarding gynecological concerns. It’s completely understandable to feel anxious about symptoms that may seem unusual or concerning. Let’s address your questions one by one.

Q1: You mentioned a lump in your genital area that the school nurse suggested might be similar to a pimple. It has recently burst and is painful. Could this be genital warts or something else?
Based on your description, it’s possible that the lump could be a sebaceous cyst, an ingrown hair, or even a pimple, especially if it was painless prior to bursting. Genital warts, caused by the human papillomavirus (HPV), typically appear as small, flesh-colored or gray swellings and can be itchy or uncomfortable. If the lesion was painful and has now burst, it may not be typical of genital warts, but it’s essential to have it evaluated by a healthcare provider for an accurate diagnosis. If you notice any changes in the appearance of the lesion, such as increased pain, bleeding, or if it doesn’t heal, please seek medical attention.

Q2: You mentioned experiencing itching in the pubic area, which sometimes becomes red and painful when scratched. What could this indicate?
Itching in the pubic area can be caused by several factors, including irritation from shaving, allergic reactions to soaps or laundry detergents, or infections such as yeast infections or bacterial vaginosis. If the itching is persistent and accompanied by redness, it could indicate a skin condition or an infection. Maintaining proper hygiene is essential, but if the symptoms persist or worsen, it’s advisable to consult a healthcare provider for a thorough examination and appropriate treatment.

Q3: You noticed some bleeding in the genital area after your period, resembling the end of a menstrual cycle. Is this a sign of irregular menstruation or something else?
Spotting or light bleeding between periods can occur for various reasons, including hormonal fluctuations, ovulation, or even the presence of fibroids or polyps. If this bleeding is unusual for you and is accompanied by other symptoms such as pain or significant changes in your menstrual cycle, it’s important to consult a healthcare provider. They may recommend tests such as a pelvic exam or ultrasound to determine the cause of the bleeding.

In summary, while some of your symptoms may be benign, it’s crucial to have any persistent or concerning symptoms evaluated by a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your needs. Remember, your health is important, and seeking medical advice is a proactive step towards understanding and addressing your concerns. Don’t hesitate to reach out to a gynecologist or healthcare provider for further evaluation and peace of mind.

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