Perineal Growths: Causes, Symptoms, and Treatment Options

A protruding lump in the perineal area... I've been confused about it for several years. :(

Hello Doctor, I have had sexual intercourse and have never given birth.
I have mild hemorrhoids and often experience constipation due to my job, which requires prolonged sitting and irregular hours.
Four years ago, I developed a long, flat growth in the perineal area that matches the surrounding skin color (no redness, white, or gray) and is painless.
Subsequently, I began to experience blood in my stool.
At that time, I followed my boyfriend's advice and visited a gynecologist, but the doctor did not provide any specific information, so I didn't pay much attention to it.
Later, based on my mother's experience with hemorrhoids, I assumed it was hemorrhoids and consulted a colorectal surgeon.
The doctor confirmed the presence of hemorrhoids but said they were not severe.
However, after looking at pictures of hemorrhoids online, I feel that my condition is different (hemorrhoids appear as round lumps concentrated in one area, while mine is more elongated, flat, and wrinkled, located along the entire perineal area).
A few days ago, I came across discussions among pregnant women online, mentioning that during childbirth, the perineum might tear and heal, resulting in a growth that is painless.
Although there were no pictures, the shape and location described seemed similar to mine.

1.
I would like to ask, what could be the reason for the growth in my perineal area? What possible conditions could it indicate? Is there a way to remove it?
Another small issue: after my visit to the colorectal surgeon, the doctor performed a rectal examination, and I noticed some bleeding afterward.
I initially thought it was due to the anal dilation, but when I used a rectal suppository at home, I discovered that the blood was coming from my vagina.
My next menstrual period is expected in two weeks, but I am unsure why I am experiencing vaginal bleeding.

2.
Is it normal to have vaginal bleeding after a rectal examination?

Miss Chen, 20~29 year old female. Ask Date: 2021/05/15

Dr. Huang Yuande reply Obstetrics and Gynecology

1.
It would be helpful to have photos for a more accurate diagnosis; it could be a polyp, wart, or tumor, and this requires evaluation by a physician for proper assessment.
2.
Rectal bleeding is likely caused by different factors than vaginal bleeding, unless it is due to a fistula or cancer.
It is advisable to consult a gynecologist for an examination to alleviate any concerns.

Reply Date: 2021/05/15

More Info

Understanding perineal growths can be complex, especially when considering the various potential causes, symptoms, and treatment options. Based on your description, it seems that you have developed a growth in the perineal area that has been present for several years, along with experiencing some gastrointestinal issues like constipation and hemorrhoids.
1. Possible Causes of Perineal Growths: The growth you describe could be a number of things. Given its appearance as a long, flat piece of tissue that matches the surrounding skin color, it may be a benign condition such as a skin tag or a fibroma. Skin tags are common and often develop in areas where skin rubs against skin or clothing. They are usually harmless and do not require treatment unless they become bothersome. Another possibility could be a condition known as a perianal warty growth, which can occur due to the human papillomavirus (HPV). While these are typically painless, they can sometimes be mistaken for other conditions.

Additionally, since you mentioned having hemorrhoids, it is important to note that they can sometimes cause skin changes in the perineal area, especially if there is chronic straining or irritation. The fact that you have experienced blood in your stool could indicate that your hemorrhoids are inflamed or that there is another underlying issue, such as anal fissures or even more serious conditions like polyps or anal cancer, although the latter is less common.

2. Symptoms and Concerns: The presence of blood in your stool, especially if it is bright red, can be concerning. It is crucial to differentiate whether the blood is coming from hemorrhoids or if there is another cause. If the blood is coming from the rectum and not the vagina, it could be related to your hemorrhoids or other rectal issues. However, if you are experiencing vaginal bleeding that is not related to your menstrual cycle, this warrants further investigation.
Vaginal bleeding after a rectal examination is not typical and could indicate trauma or irritation to the vaginal walls. It is essential to communicate this symptom to your healthcare provider, as they may need to perform a more thorough examination to rule out any potential issues.

3. Treatment Options: For benign growths like skin tags or fibromas, treatment is often not necessary unless they cause discomfort or cosmetic concerns. If you wish to have the growth removed, a healthcare provider can perform a simple procedure in an outpatient setting. For hemorrhoids, lifestyle changes such as increasing fiber intake, staying hydrated, and avoiding prolonged sitting can help alleviate symptoms. Over-the-counter treatments and topical medications may also provide relief.

If the growth is suspected to be related to HPV or if there are concerns about malignancy, your doctor may recommend further diagnostic tests, such as a biopsy, to determine the nature of the growth.
4. Next Steps: Given your symptoms and the complexity of your situation, it is advisable to seek a consultation with a specialist, such as a colorectal surgeon or a gynecologist, who can provide a comprehensive evaluation. They can perform necessary examinations, including a physical exam and possibly imaging studies, to determine the exact nature of the growth and any associated symptoms.

In summary, while the growth you describe may be benign, the presence of blood in your stool and the unusual vaginal bleeding are concerning symptoms that should be addressed promptly. Seeking a thorough evaluation will help ensure that any underlying issues are identified and treated appropriately.

Similar Q&A

Understanding Perineal Growths: Causes, Symptoms, and Treatment Options

Hello Doctor, I have had sexual intercourse, have never given birth, and have mild hemorrhoids with frequent constipation. Due to my job, I often sit for long periods and have irregular sleep patterns. Four years ago, I developed a long, flat growth in the perineal area that matc...

Dr. Huang Yuande reply Obstetrics and Gynecology
1. Having a photo would be helpful for making a diagnosis; it could be a polyp, wart, or tumor, and a physician's examination is necessary for proper assessment. 2. Rectal bleeding is likely caused by different factors than vaginal bleeding, unless it is due to a fistula or ...

Understanding Perineal Growth: What to Know About Your Symptoms

Hello, Doctor: A couple of days ago, I noticed a lump in the perineal area, located between the anus and the vaginal opening. It is painless and does not itch when pressed, and its color is similar to the surrounding skin. I have regular sexual activity once a week. I would like ...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Without an examination, I cannot provide a definitive diagnosis. I recommend visiting a gynecologist, who should be able to give you an appropriate diagnosis and advice on whether treatment is necessary. Thank you!

Understanding Polyps: Causes, Symptoms, and Treatment Options

Six months ago, I noticed one or two growths in my perineal area, so I went to see a gynecologist. The doctor recommended electrosurgery to remove them and send them for examination to determine what they were. Later, the test results came back, and the doctor said they were poly...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, since this occurrence may not be the same as the last one, I recommend that you consult a physician for a biopsy. If it is a benign polyp and there are no other symptoms, it may not be necessary to remove it completely through electrosurgery. Ben...

Understanding Abnormal Growths on the Glans: Causes and Treatment Options

According to the description, there is a worm-like protrusion next to the glans and the meatus, with twisted and prominent blood vessels at the frenulum connecting to the glans. This symptom has been present for several years without any discomfort, and there has been no unsafe s...

Dr. Du Shixi reply Urology
Hello: It is advisable to seek medical attention. If it continues to grow, surgical removal for testing would be the best option. Wishing you good health.