Should You See a Dermatologist or Gynecologist for Painful Bumps? - Dermatology

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Hello, Doctor:


Recently, I had a hot wax hair removal in the intimate area, and the next day I noticed about three painful, pimple-like bumps (with pus) in the pubic hair region.
Should I go directly to a gynecologist, or should I see a dermatologist? Or can I just buy an ointment to apply?

Zheng, 20~29 year old female. Ask Date: 2020/01/13

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to determine the appropriate treatment.

Reply Date: 2020/01/13

More Info


When faced with painful bumps in the genital area, especially after a recent hair removal procedure, it's important to approach the situation with caution and proper knowledge. The bumps you describe, which resemble pimples and are painful to touch, could potentially be a variety of conditions, including folliculitis, ingrown hairs, or even an infection.
Folliculitis is an inflammation of the hair follicles, often caused by bacteria, irritation, or blockage. This condition can occur after hair removal, especially if the hair is removed in a way that irritates the skin or if bacteria enter the follicles. Ingrown hairs can also occur when hair grows back into the skin, leading to painful, red bumps that can become infected.
Given the sensitive nature of the area and the potential for various causes, it is advisable to see a dermatologist for a few reasons:
1. Specialization: Dermatologists specialize in skin conditions, including those affecting the genital area. They can provide a thorough examination and accurate diagnosis of your condition.

2. Treatment Options: A dermatologist can prescribe appropriate treatments, which may include topical antibiotics if an infection is present, or other medications to reduce inflammation and pain. They can also provide guidance on proper hair removal techniques to prevent future occurrences.

3. Avoiding Complications: If the bumps are indeed infected, delaying treatment could lead to further complications, such as the spread of infection or the development of abscesses.

While a gynecologist can also address issues related to the genital area, their focus is more on reproductive health rather than skin conditions. Therefore, for skin-related issues, a dermatologist is typically the better choice.

In the meantime, here are some general care tips you can follow until you see a specialist:
- Avoid Picking: Do not squeeze or pick at the bumps, as this can worsen the irritation and lead to infection.

- Keep the Area Clean: Gently wash the area with mild soap and water to keep it clean.

- Avoid Irritants: Refrain from using harsh soaps, lotions, or other products that may irritate the skin.

- Warm Compress: Applying a warm compress can help soothe the area and may promote drainage if there is an infection.

As for over-the-counter treatments, while some topical creams may provide relief, they may not be effective if there is an underlying infection or if the bumps are due to a specific skin condition. Therefore, it is best to consult with a dermatologist for a tailored treatment plan.

In summary, for painful bumps in the genital area, especially after hair removal, seeing a dermatologist is the most appropriate course of action. They can provide a proper diagnosis and treatment plan, ensuring that you receive the best care for your condition.

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