Hair Follicles: Concerns About Scrotal Hair Growth - Urology

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Pubic hair concerns?


Hello doctor, I noticed that there are hairs on my scrotum, but underneath the hairs, there is a small bump connecting the scrotum and the hair.
When I pull the hair, I can also see a small bump in the pubic hair area.
Is this normal? These bumps are completely painless and itch-free; could they be hair follicles?

Niming, 20~29 year old female. Ask Date: 2019/04/16

Dr. Du Shixi reply Urology


Hello: The possibility of follicular issues may be greater.
Wishing you good health.

Reply Date: 2019/04/16

More Info


When it comes to hair follicles and their growth, particularly in the scrotal area, it’s important to understand the anatomy and physiology involved. The small structures you are observing at the base of your pubic hair are likely hair follicles, which are normal and essential components of hair growth. Each hair follicle is a tiny organ that produces hair and is surrounded by a sebaceous gland, which secretes oil to keep the hair and skin moisturized.

1. Understanding Hair Follicles: Hair follicles are responsible for the growth of hair. They are embedded in the skin and consist of several layers, including the outer root sheath and the inner root sheath. The small "things" you are noticing at the base of your hair are likely the follicular openings where the hair emerges. These structures can sometimes appear as small bumps or nodules, which are completely normal.

2. Sebaceous Glands: Each hair follicle is associated with a sebaceous gland that produces sebum, an oily substance that helps to lubricate the hair and skin. If you notice small bumps, they could be sebaceous cysts or just the normal appearance of the sebaceous glands. These are typically harmless and do not require treatment unless they become inflamed or infected.

3. Normal Variations: It’s also important to note that the appearance of hair follicles can vary from person to person. Some individuals may have more pronounced follicular openings or bumps, which can be completely normal. As long as there is no pain, itching, or other symptoms, it is likely that what you are observing is within the range of normal anatomical variation.

4. Hair Growth Cycle: Hair follicles undergo a cycle of growth, rest, and shedding. This cycle can be influenced by various factors, including hormonal changes, genetics, and overall health. In the scrotal area, hair growth is typically influenced by androgens, which are male hormones that promote hair growth.

5. When to Seek Medical Advice: If you experience any changes in the appearance of your hair follicles, such as increased redness, swelling, pain, or discharge, it would be advisable to consult a healthcare professional. While the structures you are observing may be normal, any significant changes could warrant further investigation to rule out conditions such as folliculitis or other skin infections.

6. Hygiene and Care: Maintaining good hygiene in the genital area is important for overall skin health. Regular washing with mild soap and water can help prevent the buildup of oils and dead skin cells, which can lead to clogged follicles. However, avoid harsh soaps or excessive scrubbing, as these can irritate the skin.

In summary, the small structures you are observing at the base of your scrotal hair are likely normal hair follicles or sebaceous glands. As long as there are no associated symptoms such as pain or itching, there is typically no cause for concern. However, if you have any doubts or if you notice any changes, it is always best to consult a healthcare provider for a thorough evaluation.

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