Vaginal Bumps: Symptoms and When to Seek Help - Obstetrics and Gynecology

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Genital issues


Hello Doctor: I have a bump in my genital area that looks a bit like an acne pimple and resembles a small white spot.
It feels itchy when I touch it, but it doesn't hurt, and I don't have any other discomfort.
I'm not sure if the location is on the labia majora or labia minora.
I would like to ask what this symptom might be.
Since there is only one bump, I'm unsure if it could be a yeast infection (as I found online that it usually involves multiple bumps).
Do I need to go to the hospital to get it checked? Thank you for your clarification!

Xiao Xiao, 20~29 year old female. Ask Date: 2021/06/15

Dr. Wu Xianghui reply Obstetrics and Gynecology


"Vaginal infections" can cause abnormal discharge, perineal itching, perineal cysts, unusual odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
"Treatment methods" vary depending on the symptoms and require proper health education.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

Reply Date: 2021/06/15

More Info


When it comes to vaginal bumps, it’s important to understand that they can arise from a variety of causes, and not all of them are serious. The bump you describe, which resembles an acne pimple and is itchy but not painful, could be due to several factors, including folliculitis, a sebaceous cyst, or even a benign skin condition.
Folliculitis occurs when hair follicles become inflamed, often due to infection or irritation. This can happen in areas where hair grows, including the labia. A sebaceous cyst, on the other hand, is a non-cancerous bump filled with sebum, which can develop when a sebaceous gland becomes blocked. These cysts are usually painless unless they become infected.
Another possibility is a condition known as a Fordyce spot, which are small, painless, pale bumps that can appear on the genital area and are completely normal. They are caused by enlarged sebaceous glands and do not require treatment.

While you mentioned that the bump is not painful and there are no other symptoms, it’s still wise to monitor it. If the bump changes in size, color, or begins to cause discomfort, it would be advisable to seek medical attention. Additionally, if you notice any unusual discharge, persistent itching, or other symptoms such as fever or swelling, these could be signs of an infection or other condition that warrants a visit to a healthcare provider.

Regarding your concern about a yeast infection, it’s true that such infections often present with multiple bumps or lesions, along with symptoms like itching, burning, and abnormal discharge. However, a single bump does not necessarily indicate a yeast infection. If you are experiencing other symptoms associated with a yeast infection, such as a thick, white discharge or significant itching, it would be prudent to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

In general, if you are uncertain about any changes in your body, especially in sensitive areas like the genital region, it’s always best to err on the side of caution and consult with a healthcare provider. They can perform a physical examination and, if necessary, conduct tests to determine the exact nature of the bump.
In summary, while a single, non-painful bump that itches may not be a cause for immediate concern, it is important to keep an eye on it and seek medical advice if there are any changes or additional symptoms. Regular gynecological check-ups are also a good practice to maintain reproductive health and address any concerns you may have.

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