Small Hard Bumps on the Labia: Causes and Concerns

Small hard lumps in the genital area?

I have a small hard lump on the upper right side of my labia, about the size of a mung bean, which has been present for more than six months.
It is not visible on the surface and can only be felt by touch.
It is not swollen or painful, and I don't feel it has increased in size.
I tried soaking it in hot water to see if it would go away, but it didn't help.
I would like to ask the doctor what this could possibly be.

Lin xx, 20~29 year old female. Ask Date: 2021/04/05

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it could possibly be a benign tumor.
It is recommended to visit a gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/04/05

More Info

When it comes to small hard bumps on the labia, there are several potential causes to consider. Given that you have described a small, pea-sized bump on the right side of your labia that has been present for over six months, is not painful, and has not changed in size, it is important to evaluate the possible explanations for this condition.

1. Sebaceous Cyst: One of the most common causes of small, hard bumps in the genital area is a sebaceous cyst. These cysts occur when a sebaceous gland becomes blocked, leading to the accumulation of sebum (oil) beneath the skin. They are usually painless and can vary in size. Sebaceous cysts are typically benign and may not require treatment unless they become infected or bothersome.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small, hard bumps that may feel tender or itchy. However, if your bump is not painful and has been stable, it is less likely to be folliculitis.

3. Lipoma: A lipoma is a benign tumor made of fat tissue. These soft, movable lumps can appear anywhere on the body, including the labia. They are generally painless and slow-growing.

4. Bartholin's Gland Cyst: The Bartholin's glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst. These cysts can vary in size and may cause discomfort if they become large or infected.

5. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small bumps in the genital area. They may be flesh-colored or slightly darker and can vary in texture. If the bump has a rough surface or changes in appearance, it may warrant further evaluation.

6. Other Skin Conditions: Conditions such as molluscum contagiosum, which is a viral infection that causes small, firm bumps, or other dermatological issues could also be responsible for the bump you are experiencing.

Given that the bump has been present for an extended period without significant changes, it is likely benign. However, it is essential to consult a healthcare provider for a proper evaluation. They may perform a physical examination and, if necessary, recommend further testing or a biopsy to rule out any serious conditions.

In the meantime, avoid attempting to pop or squeeze the bump, as this can lead to infection or irritation. While warm baths may provide some comfort, they are unlikely to resolve the issue if it is indeed a cyst or similar condition.

In summary, while the bump you describe is likely benign, it is crucial to seek medical advice for an accurate diagnosis and appropriate management. Regular check-ups and monitoring any changes in size, shape, or symptoms are also advisable to ensure your health and peace of mind.

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