Painful Groin Cysts: What You Need to Know

It doesn't seem like folliculitis?

There is a cyst approximately two centimeters in size located near the pubic hair, close to the lower abdomen and right inguinal region.
It appears red, and there is no visible pus.
It causes intermittent pain without any pressure applied, and it does not seem like folliculitis.
Currently, I am using a topical medication for dermatitis, but it doesn't seem to be effective.
I would like to know what this could be.

Youxin Chongchong de Nanren, 30~39 year old female. Ask Date: 2020/01/15

Dr. Du Mingyi reply Urology

It is recommended to visit the outpatient clinic for evaluation.

Reply Date: 2020/01/15

More Info

When it comes to understanding painful groin cysts, it is essential to consider various factors, including the characteristics of the cyst, its location, and the symptoms associated with it. Based on your description, you have a cyst located near the pubic area and the right groin, measuring approximately two centimeters, which is red and intermittently painful without any apparent pus.

Possible Causes of Groin Cysts
1. Epidermoid Cyst: These are common types of cysts that can occur anywhere on the body, including the groin area. They are usually benign and filled with keratin, a protein found in skin cells. They can become inflamed or infected, leading to pain and redness.

2. Sebaceous Cyst: Similar to epidermoid cysts, sebaceous cysts are also filled with a fatty substance and can occur due to blocked sebaceous glands. They can become painful if they become inflamed or infected.

3. Follicular Cyst: This type of cyst can develop from hair follicles and may be mistaken for a boil or furuncle. They can be painful and may not always present with pus.

4. Lymphadenopathy: Sometimes, swollen lymph nodes in the groin area can mimic cysts. This can occur due to infections, inflammation, or other underlying conditions.

5. Hernia: In some cases, a groin lump may be a hernia, which occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. This can cause pain, especially when straining or lifting.

Symptoms and Diagnosis
The intermittent pain you are experiencing, along with the redness of the cyst, suggests that it may be inflamed or possibly infected. It is important to monitor the cyst for any changes in size, color, or pain intensity. If the cyst becomes increasingly painful, shows signs of infection (such as increased redness, warmth, or discharge), or if you develop fever, it is crucial to seek medical attention.

Treatment Options
1. Topical Treatments: You mentioned using a topical medication (寶爾爽) for skin inflammation. While topical treatments can help with mild inflammation, they may not be effective for deeper cysts or infections.

2. Warm Compresses: Applying a warm compress to the area can help reduce inflammation and promote drainage if the cyst is indeed infected.

3. Incision and Drainage: If the cyst is painful and shows signs of infection, a healthcare provider may recommend an incision and drainage procedure to relieve pressure and remove any infected material.

4. Surgical Removal: If the cyst is recurrent or bothersome, surgical removal may be necessary to prevent future occurrences.

5. Antibiotics: If there is a confirmed infection, antibiotics may be prescribed to treat the infection effectively.

When to See a Doctor
It is advisable to consult a healthcare professional if:
- The cyst continues to grow or change in appearance.

- You experience significant pain or discomfort.

- There are signs of infection, such as fever or pus.

- You have any concerns about the nature of the cyst.

In conclusion, while your cyst may be benign, it is essential to monitor it closely and seek medical advice if symptoms worsen or do not improve with conservative treatment. A healthcare provider can perform a thorough examination and may recommend imaging studies or a biopsy if necessary to rule out any serious conditions.

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