Red Bump on Labia: Should You See a Doctor? - Obstetrics and Gynecology

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A lump on the labia majora?


Hello doctor, I have a red bump on my vulva that looks like a red bean.
It is not painful or itchy, but one day it bled without me noticing.
Should I seek medical attention? Sometimes it disappears, and sometimes it reappears.

Tòumíng rén, 40~49 year old female. Ask Date: 2021/06/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you may still need to see a gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/06/11

More Info


When it comes to a red bump on the labia, particularly one that resembles a red bean, it is essential to approach the situation with caution and awareness of potential underlying issues. While the bump is described as painless and occasionally bleeding, it is advisable to seek medical attention for a thorough evaluation. Here’s why:
1. Potential Causes: The appearance of a red bump in the genital area can be attributed to various conditions. These may include benign cysts, such as sebaceous cysts or Bartholin's gland cysts, which are generally harmless. However, other possibilities include infections, such as herpes or warts, or even more serious conditions like vulvar cancer, especially if there are changes in the bump's appearance or if it persists over time.

2. Bleeding: The fact that the bump has bled is particularly concerning. While minor bleeding can occur from benign lesions, any unexplained bleeding in the genital area should be evaluated by a healthcare professional. This is crucial to rule out any serious conditions and to ensure that appropriate treatment is provided if necessary.

3. Variability: The bump's tendency to disappear and reappear may suggest that it is a cyst or another type of lesion that can fluctuate in size or become inflamed. However, this variability does not eliminate the need for medical evaluation. It is important to understand the nature of the bump and whether it poses any risk to your health.

4. Self-Examination Limitations: While self-examination can provide some insights, it is not a substitute for professional medical evaluation. A healthcare provider can perform a physical examination and may recommend further diagnostic tests, such as a biopsy or imaging studies, to determine the exact nature of the bump.

5. Peace of Mind: Consulting a doctor can provide peace of mind. Even if the bump turns out to be benign, knowing that it has been evaluated by a professional can alleviate anxiety and help you make informed decisions about your health.

6. When to Seek Immediate Care: If you experience additional symptoms such as increased pain, significant bleeding, fever, or any other concerning changes, it is important to seek immediate medical attention.

In conclusion, while the bump may not currently be causing discomfort, the presence of bleeding and its variability warrant a visit to a healthcare provider. A gynecologist or a primary care physician can provide a comprehensive assessment and guide you on the next steps. Early evaluation is key to addressing any potential issues and ensuring your overall health and well-being.

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