Growths Under Pubic Hair: When to Seek Medical Advice

Growths under the pubic hair?

There is a growth under my pubic hair that initially looked like a large lump.
After a few days, I noticed that the lump has developed a grainy texture and feels slightly painful to the touch.
Could this be a sexually transmitted infection or something like warts? Is it necessary to seek medical attention, or is there a chance it could resolve on its own?

Aa, 20~29 year old female. Ask Date: 2019/09/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology

There is a growth under the pubic hair that initially looked like a large lump.
After several days, upon closer inspection, the lump has developed a grainy appearance and feels slightly painful to the touch.
Could this be a sexually transmitted infection or something like a wart? Is it necessary to seek medical attention, or is there a chance it could resolve on its own? Answer: A visual examination is required.

Reply Date: 2019/09/27

More Info

When it comes to growths under the pubic hair, it is essential to approach the situation with caution and awareness of potential underlying conditions. The description you provided—initially resembling a large lump that later developed a bumpy texture and is slightly painful to the touch—raises several possibilities. These could range from benign conditions to more serious concerns, including sexually transmitted infections (STIs) or other dermatological issues.

Firstly, it is crucial to understand that growths in the pubic area can be caused by various factors. Common benign conditions include:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can lead to red, painful bumps that may resemble pimples or small lumps.

2. Sebaceous Cysts: These are non-cancerous lumps that can occur when sebaceous glands become blocked. They are usually painless but can become inflamed or infected, leading to discomfort.

3. Warts: Genital warts, caused by certain strains of the human papillomavirus (HPV), can appear as small, bumpy growths. They may be painless but can cause discomfort depending on their location and size.

4. Molluscum Contagiosum: This is a viral infection that leads to small, raised, pearly bumps on the skin. It is generally harmless but can be contagious.

5. Herpes Simplex Virus (HSV): This can cause painful blisters or sores in the genital area. If the growth is accompanied by other symptoms such as itching, burning, or flu-like symptoms, it may be indicative of an HSV infection.

Given the potential for these growths to be indicative of an STI or other infectious process, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the nature of the growth. This is particularly important if you have had unprotected sexual contact or if you notice any additional symptoms, such as discharge, fever, or systemic symptoms.

While some benign conditions may resolve on their own, it is not advisable to wait and see, especially if the growth is painful or changing in appearance. Early intervention can lead to better outcomes, particularly if the growth is due to an infectious process that may require treatment.

In summary, if you notice a growth under your pubic hair that is painful, changing in appearance, or concerning in any way, it is essential to consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options. Remember, taking care of your health and addressing concerns promptly is always the best approach.

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