Small Bumps on the Labia: Causes and Concerns - Obstetrics and Gynecology

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There is a small bump on the labia minora?


I noticed a very small bump on my labia while washing myself in the shower yesterday.
It's tiny and looks the same color as the surrounding area, and it doesn't hurt.
I haven't had any sexual intercourse, but I did experience some itching in the genital area before.
Could it be a sexually transmitted infection?

Xiao Jie, 10~19 year old female. Ask Date: 2021/09/24

Dr. Wu Xianghui reply Obstetrics and Gynecology


It is recommended to observe for 1 to 2 months; if there is an increase in size or number, please visit a gynecologist for an examination.

Reply Date: 2021/09/24

More Info


When it comes to small bumps on the labia, there are several potential causes that can be considered, especially in the context of your description. It's important to remember that many conditions affecting the genital area can be benign, but some may require further evaluation.

1. Sebaceous Cysts: These are small, non-painful lumps that can occur on the labia. They are caused by blocked sebaceous glands and are usually harmless. They often appear as small, skin-colored bumps and can be mistaken for other conditions.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur in the genital area. It may present as small red or white bumps and can sometimes be itchy or tender. Folliculitis can be caused by irritation, friction, or infection.

3. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged oil glands. They are completely normal and harmless, often appearing on the labia or other areas of the genital region.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. However, since you mentioned that you have not engaged in sexual activity, the likelihood of this being the cause is lower.

5. Lichen Sclerosus: This is a chronic skin condition that can cause white patches and bumps on the genital area. It is more common in women and can cause itching or discomfort.

6. Contact Dermatitis: If you have experienced itching in the area, it could be due to an allergic reaction or irritation from soaps, detergents, or other products.

Given that you mentioned the bump is very small, not painful, and that you have not had sexual intercourse, it is less likely to be a sexually transmitted infection (STI). However, the previous itching could indicate an underlying irritation or condition that may need attention.


Recommendations:
- Observation: If the bump remains small, does not change in appearance, and is not associated with other symptoms (like pain, significant itching, or discharge), it may be safe to monitor it for a while.

- Hygiene: Maintain good hygiene in the genital area, but avoid harsh soaps or products that may irritate the skin.

- Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary anxiety. If you have concerns about the bump or if it changes in size, color, or becomes painful, it would be wise to consult a healthcare provider.

- Consult a Healthcare Provider: If the bump persists, changes, or if you experience any new symptoms, it’s important to seek medical advice. A healthcare professional can provide a proper examination and may perform tests if necessary to rule out any serious conditions.

In summary, while small bumps on the labia can be concerning, many are benign and do not indicate a serious problem. However, given your history of itching and the presence of the bump, a consultation with a healthcare provider is advisable to ensure peace of mind and proper care.

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