Labial Concerns: What Could That Bump Be? - Obstetrics and Gynecology

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Genital issues


Hello doctor, I just finished my menstrual period, and while I was showering, I felt a lump near the labia, close to the pubic hair.
It doesn't hurt and isn't very itchy.
When I gently picked at it with my fingers, a small white substance came off, and when I looked in the mirror, I saw a tiny hole there.
What could that be? Could it be genital warts? I haven't had sexual intercourse for over a year.
Thank you, doctor.

Pao Pao, 20~29 year old female. Ask Date: 2020/02/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, I apologize, but we need to conduct an examination to determine the issue.
I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2020/02/19

More Info


When it comes to concerns about bumps or lesions in the genital area, it’s important to approach the situation with care and understanding. Based on your description, it sounds like you may have encountered a small bump on your labia that was painless and not particularly itchy, which you were able to remove a white substance from. This could potentially be a number of things, but let’s explore some common possibilities.

One common cause of bumps in the genital area is a sebaceous cyst. These cysts are benign and occur when a sebaceous gland becomes blocked, leading to the accumulation of sebum (the oily substance produced by these glands). They are usually painless and can sometimes be mistaken for other conditions. The fact that you mentioned a small white substance could indicate that the cyst was filled with sebum, which is often white or yellowish in color.

Another possibility is a follicular cyst, which can occur when hair follicles become clogged. These can also be painless and may resolve on their own. If the bump was soft and movable, it could further suggest a cyst rather than a more serious condition.

You mentioned the concern about whether this could be genital warts (cauliflower-like growths caused by the human papillomavirus, or HPV). While genital warts can appear as bumps in the genital area, they typically have a different texture and appearance compared to cysts. They are often raised and can be itchy or uncomfortable. Given that you have not engaged in sexual activity for over a year, the likelihood of developing new genital warts is lower, but it is not impossible, especially if there was any prior exposure to HPV.

It’s also worth noting that other conditions, such as molluscum contagiosum (a viral infection that results in small, painless bumps) or even a benign skin tag, could be considered. However, these conditions usually have distinct characteristics that can help differentiate them from cysts or warts.

Regardless of the potential diagnosis, it’s essential to remember that self-diagnosis can be misleading. The best course of action is to consult a healthcare professional who can perform a physical examination and possibly recommend further testing if necessary. They may suggest a visual inspection or even a biopsy if there is any concern about the nature of the bump.

In the meantime, it’s advisable to avoid any irritation to the area, such as harsh soaps or scrubbing, and to monitor for any changes in size, color, or discomfort. If you notice any new symptoms, such as pain, increased itching, or changes in discharge, it would be prudent to seek medical attention promptly.

In summary, while the bump you described could likely be a benign cyst, it’s crucial to have it evaluated by a healthcare provider to rule out any other conditions and to receive appropriate care. Your health and peace of mind are paramount, and a professional evaluation can provide clarity and reassurance.

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