Painful Bumps on the Vulva: Causes and Concerns

Growths in the genital area?

Hello, doctor! Recently, I have developed some raised bumps on my vulva that are painful to the touch but not itchy.
I have recently had sexual relations with a new boyfriend.
Could you please tell me what might be causing this? Is it possible that it is a sexually transmitted infection?

Zore, 20~29 year old female. Ask Date: 2020/10/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is possible that you have folliculitis.
It is recommended to keep the perineal area clean and dry, avoid tight-fitting clothing, use fewer panty liners, ensure adequate sleep, maintain a light diet, and avoid stress and prolonged sitting.
You may soak in a bath to relieve symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2020/10/06

More Info

When it comes to painful bumps on the vulva, there are several potential causes that could be considered, especially in the context of recent sexual activity. It's important to approach this situation with care and to seek medical advice for an accurate diagnosis. Here are some possible explanations for the symptoms you are experiencing:
1. Folliculitis: This is an inflammation of the hair follicles that can occur in the vulvar area. It may present as small, painful bumps and is often caused by bacteria, irritation, or friction from clothing or shaving.

2. Bartholin's Cyst: The Bartholin glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst. If the cyst becomes infected, it can cause pain and swelling.

3. Genital Herpes: This sexually transmitted infection (STI) is caused by the herpes simplex virus. It typically presents with painful blisters or sores, but in some cases, it may manifest as painful bumps without the classic blistering. Given your recent sexual activity, this is a possibility that should be considered.

4. Human Papillomavirus (HPV): Certain strains of HPV can cause genital warts, which may appear as small bumps. While these are usually not painful, some individuals may experience discomfort.

5. Contact Dermatitis: Irritation from soaps, lotions, or other products can lead to inflammation and painful bumps. If you've recently changed any products you use in that area, this could be a contributing factor.

6. Other STIs: Other sexually transmitted infections, such as syphilis or molluscum contagiosum, can also present with bumps or lesions in the genital area.
Given the variety of potential causes, it is crucial to consult a healthcare provider for a thorough examination. They may perform a physical examination, take a medical history, and possibly conduct tests (such as swabs or blood tests) to determine the exact cause of your symptoms.

In the meantime, here are some general recommendations to help manage your symptoms:
- Avoid Irritants: Refrain from using scented soaps, lotions, or other products that could irritate the vulvar area.

- Wear Loose Clothing: Opt for breathable, loose-fitting clothing to minimize friction and irritation.

- Practice Good Hygiene: Keep the area clean and dry, but avoid excessive washing, which can lead to irritation.

- Avoid Sexual Activity: Until you have a clearer understanding of what is causing the bumps, it may be wise to avoid sexual intercourse to prevent potential transmission of infections.

In conclusion, while there are several possible explanations for the painful bumps on your vulva, only a healthcare professional can provide a definitive diagnosis and appropriate treatment. It is essential to seek medical attention promptly, especially considering the recent sexual activity, to rule out any sexually transmitted infections and to receive the necessary care.

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