Which Specialist to See for Painful Skin Lump Near Genitals?

Which department should I see?

Hello doctor, I have a lump next to my genital area that is about the size of a ping pong ball.
It is red and painful when pressed, and it hurts when I walk as well.
It also hurts when I wipe with toilet paper.
Should I see a dermatologist or a gynecologist for this? Thank you.

Xin, 20~29 year old female. Ask Date: 2020/06/16

Dr. Liao Yaopan reply Family Medicine

Hello, based on the description, if it is a skin lesion, it is recommended to first consult a dermatologist for evaluation.
Depending on the situation, it may be necessary to seek an online consultation with an obstetrician-gynecologist.
Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2020/06/16

More Info

When dealing with a painful lump near the genitals, it is essential to approach the situation with care and seek the appropriate medical attention. Given the symptoms you've described—a red, painful lump the size of a ping-pong ball that causes discomfort when walking or using toilet paper—it is advisable to consult a specialist who can accurately diagnose and treat your condition.

In this case, you should consider seeing a dermatologist first. Dermatologists specialize in skin conditions, including lumps, rashes, and other skin-related issues. They can perform a thorough examination of the lump, assess its characteristics, and determine whether it is benign (such as a cyst or lipoma) or if it requires further investigation. They may also conduct tests, such as a biopsy, if necessary, to rule out any serious conditions.

If the dermatologist finds that the lump is related to a gynecological issue, they may refer you to a gynecologist. Gynecologists specialize in female reproductive health and can address any concerns related to the genital area, including infections, cysts, or other reproductive health issues.
It is important to note that lumps in the genital area can arise from various causes, including:
1. Infections: Conditions such as folliculitis (inflammation of hair follicles), abscesses, or sexually transmitted infections (STIs) can lead to painful lumps.

2. Cysts: Sebaceous cysts or Bartholin's cysts can form in the genital area and may become inflamed or infected, causing pain and discomfort.

3. Skin Conditions: Conditions like hidradenitis suppurativa or other dermatological issues can lead to painful lumps.

4. Tumors: While less common, benign or malignant tumors can also present as lumps in the genital area.

In terms of management, it is crucial to avoid self-diagnosing or treating the lump without professional guidance, as this could lead to complications. Here are some general recommendations while you await your appointment:
- Avoid Irritation: Try to minimize friction in the area by wearing loose-fitting clothing and avoiding tight underwear.

- Hygiene: Maintain good hygiene in the genital area, but be gentle when cleaning to avoid further irritation.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort, but consult with a healthcare provider before taking any medication.

- Monitor Symptoms: Keep track of any changes in the lump, such as size, color, or associated symptoms like fever or discharge, and report these to your doctor.

In conclusion, start by consulting a dermatologist for the painful lump near your genitals. They will be able to assess your condition and determine if a referral to a gynecologist is necessary. Early evaluation and treatment can help prevent complications and ensure appropriate care.

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