Hard Bumps and Black Pimple in Pubic Area: What to Know

There are two hard lumps in the pubic area, and one small pimple that has a black center?

I have a hard lump in the pubic hair area that has been present for about 16 days, roughly the size of a mosquito bite.
Recently, another hard lump has appeared nearby in the same area, and there is also a small bump that resembles a pimple with a black center.
It does not have any pus, and it does not burst when squeezed.
I have not engaged in sexual activity and maintain good hygiene.
What could this be? Do I need to see a doctor, and which specialty should I consult?

@Evil, 10~19 year old female. Ask Date: 2020/09/22

Dr. Cai Zhuorong reply Urology

A physician's visual and tactile examination is necessary to provide you with recommendations.

Reply Date: 2020/09/22

More Info

When it comes to hard bumps and black pimples in the pubic area, there are several potential causes that could explain your symptoms. Given that you have noticed a hard bump for about 16 days, along with another hard bump and a black pimple-like lesion, it is important to consider a few possibilities.

1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria or irritation. It can present as small red bumps or pus-filled blisters, but in some cases, it may appear as hard lumps. If the area is not painful and you have not experienced any systemic symptoms (like fever), this could be a benign condition.

2. Sebaceous Cysts: These are non-cancerous lumps that can form under the skin when sebaceous glands become blocked. They are usually painless, firm, and can sometimes have a blackhead-like appearance if the surface is clogged.

3. Ingrown Hairs: If you have recently shaved or trimmed your pubic hair, ingrown hairs can occur, leading to painful bumps that may become inflamed or infected.

4. Pilar Cysts: These are similar to sebaceous cysts but are specifically associated with hair follicles. They can feel firm and may appear in areas with hair growth.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small bumps in the genital area. They can vary in color and texture, and some may have a darker center.

6. Other Skin Conditions: Conditions such as molluscum contagiosum, which is a viral infection that causes small, firm bumps, could also be a possibility.
Given your description, it is advisable to seek medical attention, especially since the lesions have persisted for over two weeks. While many of these conditions are benign, a healthcare professional can provide a proper diagnosis and rule out any serious issues.

Which Specialist to See?
For concerns regarding bumps in the pubic area, it is best to consult a dermatologist. They specialize in skin conditions and can accurately assess the lesions through a physical examination. If necessary, they may perform a biopsy or other diagnostic tests to determine the exact nature of the bumps.

When to Seek Immediate Care?
If you experience any of the following symptoms, you should seek immediate medical attention:
- Increased pain or tenderness in the area.

- Signs of infection, such as redness, warmth, swelling, or pus.

- Fever or chills.

- Rapid growth of the bumps.

- Any changes in your overall health, such as unexplained weight loss or fatigue.

Conclusion
While many skin lesions can be benign, it is always better to err on the side of caution, especially when changes occur in sensitive areas like the pubic region. A dermatologist can provide you with the best course of action, whether it involves treatment, monitoring, or further testing. Remember to maintain good hygiene and avoid any irritation to the area until you can be evaluated.

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