Genital Bumps: Is It Herpes or Something Else?

Q: Genital Bumps: Is It Herpes or Something Else?

Hello： This area cannot be diagnosed without examination. <br>Redness indicates infection, so it is important to maintain cleanliness and check for any wounds. <br>If there is a wound, medical attention should be sought. <br>Herpes appears as blister-like lesions, often consistin

Could you please tell me if this is herpes or some other condition?

Hello doctor! After having a circumcision in January, I noticed a small bump on my genital area in April.
By July, it had increased to three bumps (they feel hard but otherwise don’t hurt much).
I went to the hospital for an examination, and the doctor mentioned it could be herpes, but it doesn’t appear to be a sexually transmitted infection and is not serious.
Recently, after eating seafood at the harbor, I suddenly noticed that the area became red, swollen, and larger (it hurts a bit when pressed).
I haven’t had sexual intercourse for several months, and any sexual activity in the past six months was safe.
I would appreciate it if you could take a look at the photos.
I’m currently working away from home, and this sudden change has startled me, making me very worried.
What could this condition be? How should I handle it? Thank you! Genital photos: https://mega.nz/file/ENYyCJbD#a404o25y3LmGLu1ftYan96DW7eXMKLXJPGeoHa6YSXs

Xinbei Xiansheng, 20~29 year old female. Ask Date: 2020/10/08

Dr. Du Shixi reply Urology

Hello: This area cannot be diagnosed without examination.
Redness indicates infection, so it is important to maintain cleanliness and check for any wounds.
If there is a wound, medical attention should be sought.
Herpes appears as blister-like lesions, often consisting of multiple small vesicles that can rupture and turn into a single wound.
It typically lasts for a few months.
Wishing you good health.

Reply Date: 2020/10/08

More Info

When it comes to genital bumps, understanding the potential causes is crucial for appropriate management and treatment. Based on your description, you have noticed a progression from a single bump to three hard bumps on your genital area, which have recently become red, swollen, and painful. This change in appearance and sensation can be concerning, and it is essential to consider various possibilities.

The initial assessment by your doctor suggested that these bumps might be herpes, but they also mentioned that it does not appear to be a sexually transmitted infection (STI). Herpes typically presents as painful blisters or sores, often accompanied by itching or burning sensations. However, the fact that your bumps are hard and have not caused significant discomfort until recently may indicate a different issue.

One possibility is that these bumps could be genital warts, which are caused by the human papillomavirus (HPV). Genital warts can appear as small, hard bumps and may vary in size and number. They are usually painless but can become irritated or inflamed, especially if there is friction or trauma to the area.

Another potential cause could be a sebaceous cyst, which is a benign growth that can occur in the genital area. These cysts are typically firm, movable, and painless unless they become infected, leading to redness and swelling.

In addition, folliculitis, an inflammation of the hair follicles, could also be a consideration. This condition can result from irritation, infection, or blockage of the hair follicles, leading to red, painful bumps.

Given the recent increase in size and pain of the bumps, it is essential to seek medical attention promptly. Here are some steps you can take:
1. Avoid Irritation: Refrain from any activities that may irritate the area, such as tight clothing or vigorous sexual activity, until you have a clearer understanding of the condition.

2. Seek Medical Evaluation: Since you are currently working away from home, try to find a local healthcare provider who can examine the bumps. A physical examination is crucial for an accurate diagnosis. If possible, request a referral to a dermatologist or a urologist, as they specialize in skin and genital conditions.

3. Consider Testing: If your healthcare provider suspects an STI, they may recommend testing for herpes, HPV, and other sexually transmitted infections. This can help rule out or confirm any infectious causes.

4. Monitor Symptoms: Keep track of any changes in the bumps, such as increased pain, discharge, or fever, and report these to your healthcare provider.

5. Avoid Self-Diagnosis: While it can be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety and mismanagement. Rely on professional medical advice for the best outcomes.

In summary, while the initial assessment suggested herpes, the changes in your symptoms warrant further evaluation. Conditions like genital warts, sebaceous cysts, or folliculitis could also be responsible for your symptoms. Seeking prompt medical attention is essential for accurate diagnosis and appropriate treatment. Remember, early intervention can lead to better outcomes and peace of mind.

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