Small Growth in Perineum: What You Need to Know

Cauliflower Concerns

Hello doctor, in June of this year, I had sexual relations with my boyfriend.
Recently, I discovered a very small growth in the perineal area.
I visited a gynecologist earlier this month, but the doctor said I didn't have any growths.
However, this small growth is really tiny and cannot be seen without stretching the skin.
What should I do about it?

Mo, 30~39 year old female. Ask Date: 2019/10/16

Dr. Chen Jiansheng reply Urology

If the cauliflower continues to grow, and you are truly concerned, consider excision and sending it for pathological examination.

Reply Date: 2019/10/16

More Info

When it comes to small growths in the perineum, it's essential to approach the situation with caution and awareness. The perineum is the area between the anus and the genitals, and any unusual growths in this region can be concerning. Based on your description of a very small growth that was not present during your recent gynecological examination, there are several possibilities to consider.

Firstly, small growths in the perineal area can be benign, such as skin tags, sebaceous cysts, or even small warts caused by the human papillomavirus (HPV). Skin tags are common and usually harmless, while sebaceous cysts can occur when a hair follicle becomes clogged. Warts, on the other hand, may require further evaluation, especially if they are caused by HPV, which can have implications for sexual health.

Given that your gynecologist did not identify any growths during your last visit, it is possible that the growth is new or very small, making it difficult to detect without a thorough examination. If the growth is asymptomatic—meaning it does not cause pain, itching, or bleeding—it may not require immediate treatment. However, monitoring its size and any changes is crucial.

Here are some steps you can take:
1. Self-Monitoring: Keep an eye on the growth. Note any changes in size, color, or texture. If it begins to cause discomfort or changes significantly, it would be wise to seek medical advice.

2. Consult a Specialist: If you remain concerned about the growth, consider consulting a dermatologist or a urologist. These specialists can provide a more detailed examination and may perform a biopsy if necessary to rule out any malignant conditions.

3. Avoid Self-Diagnosis: While it is tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety. It’s best to rely on professional medical advice.

4. Maintain Good Hygiene: Keeping the area clean and dry can help prevent any potential infections or irritations.

5. Discuss Sexual Health: If you have concerns about sexually transmitted infections (STIs) or HPV, it may be beneficial to discuss these with your healthcare provider. Regular screenings and open communication with your partner about sexual health are essential.

6. Consider Lifestyle Factors: Factors such as stress, diet, and hygiene can influence skin health. Maintaining a balanced diet, staying hydrated, and managing stress can contribute to overall well-being.

In summary, while a small growth in the perineum can be benign, it is essential to monitor it closely and seek professional advice if you have any concerns. Regular check-ups and open communication with your healthcare provider are key to maintaining your health. If the growth changes or if you experience any symptoms, do not hesitate to seek medical attention. Your health and peace of mind are paramount.

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