Inquire about conditions similar to Bartholin's cyst?
Hello.
I would like to ask about a problem I've had since I was 13 years old, where I experience something similar to pimples in my genital area.
These pimple-like lesions frequently appear in different locations, but they usually disappear within about a week.
However, this time the lesion is located near the anus and is much larger than before, resembling a small cyst.
It causes significant pain when walking, sitting, or standing.
It may have also caused some skin abrasion due to friction from walking.
This is the first time I've experienced this situation.
Could you please tell me what this might be? Is it possible for a Bartholin's gland cyst to occur in this area, or could this be indicative of another condition? I saw a doctor who only prescribed antibiotics and anti-inflammatory medication, but it doesn't seem to be effective.
Previously, the lesions in the genital area were also red and swollen, sometimes with pus and sometimes without.
I'm uncertain about what this could be.
Could you please provide some clarification? Thank you, doctor.
Miss Wang, 20~29 year old female. Ask Date: 2020/05/29
Dr. Lin Manying reply Obstetrics and Gynecology
Ms.
Wang: Hello, based on your description, it could possibly be (1) recurrent folliculitis or (2) a Bartholin's cyst.
If there are ulcerative manifestations, it may also be genital herpes.
A definitive diagnosis still requires a personal medical consultation, and please pay extra attention to the cleanliness of the perineal area.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2020/05/29
More Info
It sounds like you are experiencing a challenging and uncomfortable situation with painful bumps near your anus. Based on your description, there are several potential causes for these symptoms, and I will outline some of them along with possible treatments.
Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles that can occur in the genital area. It can present as red, swollen bumps that may be painful and can sometimes develop pus. Folliculitis can be caused by bacterial infections, irritation from shaving, or friction from clothing.
2. Bartholin's Gland Cyst: Although Bartholin's glands are located near the vaginal opening, cysts can sometimes cause swelling and discomfort in the surrounding areas. These cysts can become infected, leading to painful lumps.
3. Abscess: An abscess is a collection of pus that can form in response to infection. If the bump is particularly swollen and painful, it could be an abscess that requires drainage.
4. Hemorrhoids: These are swollen veins in the rectal area that can cause pain, especially when sitting or during bowel movements. They can sometimes be mistaken for other types of lumps.
5. Skin Conditions: Conditions such as hidradenitis suppurativa or psoriasis can also cause painful bumps in the genital area. These conditions often require specific treatments.
6. Sexually Transmitted Infections (STIs): Certain STIs can cause lesions or bumps in the genital area. If there is any possibility of exposure, it is essential to get tested.
Recommended Treatments
1. Antibiotics: Since you mentioned that a doctor prescribed antibiotics, it is crucial to complete the course as directed. If there is no improvement after finishing the antibiotics, you should follow up with your healthcare provider.
2. Warm Compresses: Applying warm compresses to the affected area can help reduce swelling and relieve pain. This can also encourage drainage if there is an abscess.
3. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.
4. Avoid Irritation: Wear loose-fitting clothing and avoid activities that may irritate the area, such as prolonged sitting or vigorous exercise until the symptoms improve.
5. Follow-Up Care: If the bumps persist, worsen, or are accompanied by fever or other systemic symptoms, it is essential to return to a healthcare provider for further evaluation. They may consider imaging studies or a referral to a specialist, such as a dermatologist or a colorectal surgeon.
6. Hygiene: Maintaining good hygiene in the genital area is essential. Gently cleanse the area with mild soap and water, and avoid harsh products that can cause irritation.
Conclusion
Given the recurring nature of your symptoms and the recent increase in severity, it is crucial to seek further medical evaluation. A healthcare provider can perform a physical examination and may recommend additional tests to determine the exact cause of your symptoms. Early intervention can prevent complications and provide relief from discomfort. If you have any concerns about your symptoms or treatment, do not hesitate to reach out to a healthcare professional for guidance.
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