Painful Red Bumps Near the Genital Area - Obstetrics and Gynecology

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There are red rash-like lesions near the genital area?


There is a swollen, red lump on the right side of the area between the genitals and the anus, which causes pain whether standing or walking.
Subsequently, a similar red lump has appeared on the left side as well.
The lump on the right side is no longer painful, but I can still faintly feel it there.

Niming, 20~29 year old female. Ask Date: 2019/04/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology


There is a swollen, red lump on the right side of the perineum near the anus that causes pain when walking or standing.
Subsequently, a similar red lump has appeared on the left side as well.
The lump on the right side is no longer painful, but it can still be felt faintly.
A physical examination is necessary.

Reply Date: 2019/04/17

More Info


When it comes to painful red bumps near the genital area, there are several potential causes that could be responsible for your symptoms. The presence of red, painful bumps on the skin in this sensitive area can be concerning, and it’s essential to consider various factors to understand what might be happening.

One common cause of red bumps in the genital region is folliculitis, which is the inflammation of hair follicles. This condition can occur due to bacterial or fungal infections, irritation from shaving or waxing, or even friction from tight clothing. Folliculitis typically presents as small, red, and painful bumps that may resemble acne. If this is the case, the bumps may resolve on their own, but maintaining good hygiene and avoiding irritants can help.

Another possibility is the presence of genital herpes, which is caused by the herpes simplex virus. This condition can lead to painful blisters or sores in the genital area. If you have a history of herpes or have been exposed to someone with the virus, it’s important to consider this as a potential cause. Herpes outbreaks can be managed with antiviral medications, and it’s crucial to consult a healthcare provider for proper diagnosis and treatment.

Additionally, you could be experiencing a condition known as a sebaceous cyst, which is a non-cancerous lump beneath the skin. These cysts can become inflamed or infected, leading to pain and redness. They are typically harmless but may require drainage or removal if they become bothersome.

Another serious condition to consider is an abscess, which is a collection of pus that can form due to infection. Abscesses can be quite painful and may require medical intervention, such as drainage and antibiotics. If you notice increasing redness, swelling, or fever, it’s crucial to seek medical attention promptly.

In some cases, sexually transmitted infections (STIs) such as syphilis or chancroid can present with painful bumps or sores in the genital area. If you are sexually active, especially with multiple partners, it’s essential to get tested for STIs if you notice any unusual symptoms.

Given the sensitivity and potential seriousness of the symptoms you are experiencing, it is highly recommended that you consult a healthcare professional for a thorough examination. They may perform a physical examination, ask about your medical history, and possibly conduct tests to determine the exact cause of the bumps. Early diagnosis and treatment are key to managing any underlying conditions effectively.

In summary, painful red bumps near the genital area can arise from various causes, including folliculitis, herpes, sebaceous cysts, abscesses, or STIs. Each condition has its own implications for treatment and management, so it’s essential to seek medical advice to ensure proper care and to rule out any serious issues. Remember, it’s always better to err on the side of caution when it comes to your health, especially in sensitive areas.

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