and Treating Groin Pimples: When to See a Specialist

Acne in the groin area?

Hello, doctor.
I have a bump in my groin area that looks similar to a pimple.
It becomes red, swollen, and inflamed, and when I squeeze it, pus comes out.
It often recurs; it gets better for a while and then comes back.
My underwear rubs against it, and since the location is a bit awkward, I’ve been wondering whether I should see a dermatologist or a gynecologist.
Should I consider having it surgically removed?

Mu Mu, 30~39 year old female. Ask Date: 2019/11/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have a bump in my groin area that resembles a pimple.
It is red, swollen, and inflamed, and when I squeeze it, pus comes out.
It frequently recurs; it improves for a while and then comes back.
The location is a bit awkward, and my underwear often rubs against it.
I am wondering if I should see a dermatologist or a gynecologist? Answer: Either is fine.
Should I consider surgical removal? Answer: I am not considering surgery.

Reply Date: 2019/11/10

More Info

When dealing with a recurring pimple-like lesion in the groin area, it is essential to understand the potential causes, treatment options, and when to seek specialist care. Based on your description, it sounds like you may be experiencing a sebaceous cyst or an epidermoid cyst, which can become inflamed and infected, leading to the symptoms you describe, such as redness, swelling, and pus formation.

Understanding the Condition
Sebaceous cysts are common and typically arise from blocked sebaceous glands, which produce oil for the skin. They can occur anywhere on the body but are particularly common in areas where skin rubs against skin or clothing, such as the groin. When these cysts become inflamed or infected, they can cause discomfort and may require medical intervention.

When to See a Specialist
Given the recurrent nature of your symptoms, it is advisable to consult a healthcare professional. In this case, you may consider seeing a dermatologist (skin specialist) first, as they are well-equipped to diagnose and treat skin-related issues, including cysts. A dermatologist can perform a thorough examination and may recommend treatments such as:
1. Drainage: If the cyst is inflamed and painful, the dermatologist may perform an in-office procedure to drain the cyst and relieve pressure.

2. Injection: Corticosteroid injections can help reduce inflammation and may prevent recurrence.

3. Surgical Removal: If the cyst is recurrent or bothersome, surgical excision may be recommended. This is typically a minor outpatient procedure where the cyst is completely removed to prevent it from coming back.

Considerations for Surgical Removal
Surgical removal is often the most definitive treatment for a sebaceous cyst, especially if it has become a recurring issue. The procedure is usually straightforward and can be done under local anesthesia. However, it is essential to wait until the cyst is not inflamed or infected before surgery, as this can complicate the procedure and increase the risk of infection.

When to See a Gynecologist
While your symptoms are primarily related to a skin issue, if you experience additional symptoms such as unusual discharge, significant pain, or if the lesion is located near the vulva, it may be prudent to consult a gynecologist. They can rule out any gynecological conditions that may be contributing to your symptoms.

Conclusion
In summary, it is advisable to see a dermatologist for your groin lesion, especially since it is recurrent and has shown signs of infection. They can provide appropriate treatment options, including drainage or surgical removal if necessary. If you have any concerns about the location or nature of the lesion, or if you experience additional symptoms, do not hesitate to consult a gynecologist as well. Early intervention can help prevent complications and improve your quality of life.

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