Swelling in the Mons Pubis: When to Seek Medical Advice

There is a lump felt on the mons pubis?

I noticed that the area on the right labia majora feels swollen when I touch it while showering.
The lump seems to move a bit when pressed, and I don't feel any pain.
At first, I thought it was just an illusion, but after checking the left side, I found no swelling.
What could this condition be? Should I go to the hospital for an examination?

Ru, 20~29 year old female. Ask Date: 2020/01/05

Dr. Huang Yuande reply Obstetrics and Gynecology

A palpable movable mass in the right labial region or groin area could potentially be a hernia or lymphadenopathy, but it may also indicate the presence of a tumor.
It is advisable to visit a hospital for a physical examination or ultrasound by a specialist for a more accurate assessment.

Reply Date: 2020/01/05

More Info

Swelling in the mons pubis, particularly when it is localized to one side and not accompanied by pain, can be concerning but may not always indicate a serious medical issue. The mons pubis is the rounded mass of fatty tissue located above the pubic bone, and swelling in this area can arise from various causes. Here are some potential explanations for the swelling you are experiencing:
1. Cysts: One common cause of localized swelling in the mons pubis is the presence of a cyst, such as a sebaceous cyst. These are typically benign and can occur when hair follicles become blocked. They may feel firm and movable under the skin.

2. Lymphadenopathy: Swelling could also be due to enlarged lymph nodes in the groin area. This can occur in response to infections or other inflammatory processes in the body.

3. Infection: Although you mentioned that there is no pain, it is still possible that a mild infection could be present, which might not yet be causing significant discomfort. Conditions such as folliculitis or abscesses can lead to localized swelling.

4. Hernia: In some cases, a hernia can present as a swelling in the groin area. This occurs when tissue pushes through a weak spot in the abdominal muscles. Hernias can sometimes be painless, especially in the early stages.

5. Fatty Tissue Changes: Changes in the fatty tissue due to weight fluctuations or hormonal changes can also lead to localized swelling.

Given that you have noticed this swelling and it is not symmetrical with the other side, it is advisable to seek medical attention. Here are some reasons why you should consider visiting a healthcare provider:
- Evaluation: A healthcare professional can perform a physical examination to assess the swelling and determine its characteristics. They may ask about any other symptoms you might be experiencing, such as changes in urination, any recent infections, or other health issues.

- Imaging: Depending on the findings during the examination, your doctor may recommend imaging studies, such as an ultrasound, to get a clearer picture of what is happening beneath the skin.

- Peace of Mind: Even if the swelling turns out to be benign, having a professional evaluation can provide peace of mind and help you understand what is happening with your body.

- Monitoring: If the swelling is due to a benign condition, your doctor can provide guidance on monitoring it and when to seek further care if it changes.

In summary, while the swelling you are experiencing may not be immediately alarming, it is important to have it evaluated by a healthcare provider. They can help determine the cause of the swelling and recommend appropriate management or treatment if necessary. Remember, it is always better to err on the side of caution when it comes to changes in your body.

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