Painful Pearls: What to Know About Labial Issues - Obstetrics and Gynecology

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Vaginal issues


Hello doctor, I have a lump on my labia minora about the size of a pearl, and it is a bit painful.
Could this be an acne lesion?

Tang Tang, 40~49 year old female. Ask Date: 2020/05/03

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to visit an obstetrician-gynecologist for a detailed examination.
Wishing you good health.

Reply Date: 2020/05/03

More Info


When it comes to labial issues, particularly concerning a pearl-sized bump on the labia that is causing some pain, it is essential to consider several possibilities. While it might be tempting to think of it as a simple pimple or acne, there are other conditions that could be at play.
Firstly, the bump could be a sebaceous cyst, which is a common occurrence in the genital area. These cysts form when a sebaceous gland becomes blocked, leading to a buildup of sebum. They are usually painless but can become inflamed or infected, causing discomfort. If the bump is red, swollen, or tender, it may indicate an infection, and medical attention would be advisable.

Another possibility is a condition known as a follicular cyst, which can occur when hair follicles become clogged. This can happen due to various reasons, including hormonal changes, irritation, or friction. Follicular cysts can also become painful if they become infected.

Additionally, it is important to consider sexually transmitted infections (STIs) as a potential cause of painful bumps in the genital area. For instance, herpes simplex virus can cause painful blisters or sores, and human papillomavirus (HPV) can lead to genital warts. If you are sexually active and have had unprotected sex, it is crucial to get tested for STIs, especially if you notice any unusual symptoms.

If the bump is indeed painful and persistent, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend tests to determine the exact nature of the bump. They can also provide treatment options, which may include antibiotics if an infection is present, or other interventions depending on the diagnosis.

In terms of self-care, it is essential to maintain good hygiene in the genital area. Avoid using harsh soaps or products that could irritate the skin. Wearing loose-fitting clothing can also help reduce friction and irritation. If the bump is causing significant discomfort, over-the-counter pain relief medications may provide temporary relief.

In summary, while the bump on your labia could be a simple pimple, it is essential to consider other possibilities such as sebaceous cysts, follicular cysts, or STIs. Given the pain associated with the bump, it is best to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Taking proactive steps in addressing your symptoms will help ensure your overall health and well-being.

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