Genital Growths: Possible Causes and Concerns

Growths on the genitals?

Hello, on February 15th, I had sexual intercourse with a woman using a condom.
Two days later, I noticed two lesions on my genitals.
By the 20th and 21st, they seemed to have ruptured.
After that, I applied Mentholatum AD to the broken wounds, which became very painful.
When I apply pressure, there is some bleeding, and I feel slight pain when I touch the area.
I am very concerned whether this could be chancroid, genital herpes, or syphilis.

Mr. Q, 20~29 year old female. Ask Date: 2019/02/23

Dr. Xu Wencang reply Urology

You can go for an outpatient examination.

Reply Date: 2019/02/23

More Info

When it comes to understanding genital growths and the potential causes and concerns associated with them, it is essential to approach the situation with a clear understanding of the symptoms and possible conditions involved. Based on your description, it appears that you have developed two growths on your genital area shortly after engaging in sexual activity. The fact that these growths have ruptured and are causing pain and bleeding raises some important considerations.

Firstly, it is crucial to recognize that various conditions can lead to the development of growths or lesions in the genital area. Some of the most common causes include:
1. Folliculitis: This is an inflammation of the hair follicles, which can sometimes lead to small, painful bumps that may rupture and bleed. This condition is often caused by bacterial infections, irritation, or ingrown hairs.

2. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray growths. They may be painless but can cause discomfort if they become irritated.

3. Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or sores in the genital area. These lesions can break open, leading to painful ulcers that may bleed.

4. Syphilis: This sexually transmitted infection (STI) can cause sores known as chancres, which are typically painless but can become painful if infected or irritated.

5. Soft Chancre (Chancroid): This is a bacterial infection that leads to painful sores in the genital area. It is less common in many regions but should be considered if you have engaged in sexual activity with an infected partner.

Given the symptoms you described—pain, bleeding, and the fact that the growths have ruptured—it is essential to seek medical attention promptly. A healthcare professional can perform a thorough examination, take a detailed sexual history, and possibly conduct tests to determine the exact cause of your symptoms. This may include swabbing the lesions for laboratory analysis or blood tests to check for STIs.

In the meantime, here are some general recommendations:
- Avoid Irritation: Refrain from touching or squeezing the growths, as this can exacerbate pain and lead to further complications or infections.

- Keep the Area Clean: Gently clean the area with mild soap and water to prevent infection. Avoid using harsh chemicals or irritants.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort.

- Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it is advisable to abstain from sexual activity to prevent potential transmission of any infections.

- Follow Up: If the symptoms worsen or do not improve, seek medical attention as soon as possible.

In conclusion, while there are several potential causes for the growths you are experiencing, only a healthcare professional can provide an accurate diagnosis and appropriate treatment. It is essential to address your concerns promptly to ensure your health and well-being. Remember, early intervention can lead to better outcomes, so do not hesitate to seek help.

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