Persistent Red Bumps After Folliculitis: When to Seek Medical Advice

Persistent lesions after folliculitis?

Hello Doctor: I would like to ask about an issue I had after shaving my pubic hair, which led to folliculitis.
After I squeezed them out myself, there are still two or three red bumps on my genital area that resemble acne.
It has been several years, and although they are not painful, they haven't disappeared, and I still find it quite bothersome (they occasionally swell slightly).
Should I apply any topical medication, or should I seek medical treatment? If I need to see a doctor, should I go to a dermatologist or a gynecologist? Thank you for taking the time to respond amidst your busy schedule.

u, 20~29 year old female. Ask Date: 2021/01/17

Dr. Cai Yonglong reply Obstetrics and Gynecology

For folliculitis or sebaceous gland abscess, please visit the obstetrics and gynecology outpatient clinic.
If it has been a long time and topical medications have been ineffective, it would be advisable to consider outpatient surgical excision.
This may result in scar tissue, which is benign, but can you tolerate that?

Reply Date: 2021/01/17

More Info

When dealing with persistent red bumps after folliculitis, it’s important to assess the situation carefully. Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, irritation, or blockage. In your case, it seems that after experiencing folliculitis from shaving, you have developed a few red bumps that have persisted for several years. While they are not painful and occasionally swell, their continued presence can understandably be a source of concern.

First, it’s essential to understand that while folliculitis can resolve on its own, sometimes it can lead to more chronic conditions, such as post-inflammatory hyperpigmentation or even the formation of small cysts. The fact that these bumps have been present for years suggests that they may not be typical folliculitis but could represent a different skin condition, such as sebaceous cysts or even a form of acne.

Given that the bumps have not resolved over time, it would be prudent to seek medical advice. Here are some considerations regarding when to seek medical attention:
1. Duration: Since these bumps have persisted for several years without improvement, it is advisable to consult a healthcare professional. Chronic skin conditions often require a more thorough evaluation.

2. Changes in Appearance: If the bumps change in size, color, or texture, or if you notice any new symptoms such as pain, discharge, or fever, you should seek medical attention promptly.

3. Self-Care Measures: While you may have tried to manage the condition at home, such as squeezing the bumps, this can sometimes exacerbate the issue or lead to infection. Avoiding such practices is advisable.

4. Skin Care Products: If you have not already, consider using gentle, non-comedogenic skin care products. Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid may help if the bumps are acne-related, but it’s best to consult a doctor before starting any new treatment.

5. Specialist Consultation: In terms of which specialist to see, both dermatologists and gynecologists can address skin issues in the genital area. However, a dermatologist may be more specialized in skin conditions and could provide a more comprehensive evaluation and treatment plan for your specific situation.

In summary, it is advisable to schedule an appointment with a dermatologist to evaluate these persistent red bumps. They can perform a physical examination, possibly conduct a biopsy if necessary, and recommend appropriate treatment options. Treatment may include topical or oral antibiotics if an infection is suspected, or other dermatological treatments tailored to your specific diagnosis.
In the meantime, keep the area clean and avoid any irritants, such as harsh soaps or tight clothing, which might aggravate the condition. Remember, early intervention can prevent potential complications and provide peace of mind regarding your skin health.

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