Skin Issues in the Pubic Area: Causes and Treatments

Genital issues

There is a round bump on the skin just above the mons pubis, which has a small hole with a tiny black dot (seemingly embedded in the skin).
The last time I squeezed it, some white substance with a bit of odor came out, and after a few days, a little black skin was expelled.
Doctor, what could this be? What medication should I apply?

Ling, 10~19 year old female. Ask Date: 2020/01/31

Dr. Wu Yuxin reply Dermatology

No lesions were observed, making it difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2020/01/31

More Info

Understanding skin issues in the pubic area can be a sensitive topic, but it is important to address any concerns you may have. Based on your description, it sounds like you may be dealing with a sebaceous cyst or a clogged hair follicle, which can occur in various areas of the body, including the pubic region.
Sebaceous cysts are non-cancerous lumps that can form beneath the skin. They are usually filled with a substance called sebum, which is produced by sebaceous glands. These cysts can feel round and firm when you touch them, and they may have a small opening (or punctum) on the surface, which can sometimes be mistaken for a blackhead. When you mentioned that you squeezed it and expelled a white substance, this is consistent with the contents of a sebaceous cyst. The black material you observed could be keratin or debris that has accumulated within the cyst.

Another possibility is a condition known as folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles. Folliculitis can present as small red bumps or pus-filled blisters, and it can sometimes be itchy or painful.

In terms of treatment, it is essential to avoid squeezing or picking at the area, as this can lead to infection or scarring. Here are some general recommendations:
1. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid harsh soaps or scrubs that can irritate the skin further.

2. Warm Compress: Applying a warm compress to the area can help reduce inflammation and promote drainage if there is a cyst. This can also provide relief from discomfort.

3. Topical Treatments: Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid can help if the issue is related to folliculitis. These ingredients can help reduce bacteria and unclog pores.

4. Avoid Irritants: Be mindful of any products you are using in the area, such as lotions, perfumes, or shaving products, as these can sometimes cause irritation.

5. Consult a Healthcare Provider: If the cyst or bump does not improve, becomes painful, or shows signs of infection (such as increased redness, swelling, or pus), it is crucial to seek medical advice. A healthcare provider can assess the area and may recommend drainage or other treatments if necessary.

6. Consider Underlying Conditions: If you frequently experience skin issues in this area, it may be worth discussing with a dermatologist to rule out any underlying skin conditions or infections.

In conclusion, while skin issues in the pubic area can be concerning, many conditions are manageable with proper care and treatment. It is always best to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan, especially if you are unsure about the nature of the bump or if it persists. Remember, taking care of your skin is essential for overall health and well-being.

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