Red Bump on Scrotum: Causes and What You Should Know - Dermatology

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When you notice a red bump on the scrotum, especially near the penis, it can be concerning. However, there are several potential causes for this condition, and understanding them can help you determine the best course of action.

1. Folliculitis: This is one of the most common causes of red bumps on the scrotum. Folliculitis occurs when hair follicles become inflamed, often due to bacterial infection, irritation, or blockage. This can happen after shaving or due to friction from clothing. The bumps may appear red and can be itchy or tender.

2. Sebaceous Cysts: These are non-cancerous lumps that can form under the skin. They are usually painless and can vary in size. Sebaceous cysts occur when the sebaceous glands become blocked, leading to the accumulation of sebum (oil). They are generally harmless but can become infected, leading to redness and swelling.

3. Pearly Penile Papules: These are small, harmless bumps that can appear on the penis or scrotum. They are often mistaken for warts or other infections but are a normal anatomical variation. They do not require treatment unless they cause discomfort or concern.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or red bumps. While you mentioned that you have not engaged in sexual activity, it’s important to note that HPV can sometimes be transmitted through skin-to-skin contact, even without penetrative sex.

5. Infections: Various infections, including sexually transmitted infections (STIs) like herpes or molluscum contagiosum, can cause red bumps in the genital area. Symptoms may include itching, burning, or discharge. Even if you have not had sexual intercourse, it is still possible to contract certain infections through other forms of contact.

6. Allergic Reactions or Irritation: Sometimes, red bumps can result from an allergic reaction to soaps, detergents, or personal care products. Irritation from tight clothing or excessive sweating can also lead to inflammation and redness.

7. Other Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to red, inflamed patches or bumps.


What Should You Do?
- Observation: If the bump is not painful, does not change in size, and does not cause any other symptoms, you may choose to monitor it for a few days. Many benign conditions resolve on their own.

- Hygiene: Maintain good hygiene by keeping the area clean and dry. Avoid using harsh soaps or products that may irritate the skin.

- Avoid Irritation: Wear loose-fitting underwear and clothing to minimize friction and irritation.

- Consult a Healthcare Provider: If the bump persists, becomes painful, changes in appearance, or is accompanied by other symptoms (such as discharge, fever, or swelling), it is essential to seek medical advice. A healthcare provider can perform a physical examination and may recommend tests to determine the cause of the bump.

In conclusion, while a red bump on the scrotum can be alarming, many causes are benign and treatable. Understanding the potential causes and knowing when to seek medical advice can help ensure your health and peace of mind. Always prioritize your health by consulting a healthcare professional if you have concerns about any changes in your body.