Should You See a Gynecologist or Dermatologist for Pubic Acne?

If you frequently have pimples in the genital area, should you see a gynecologist or a dermatologist?

Recently, I have been experiencing frequent pimples in the genital area, particularly near the labia and in the lower abdomen where the pubic hair is dense.
Sometimes these pimples can be squeezed out, but even when they are, they remain hard.
They are also itchy and painful.
In the past, squeezing them would usually resolve the issue, but that hasn't been the case lately.
I would like to seek medical attention but am unsure which specialty to consult.
Additionally, I would like to know if the doctor will need to physically examine the affected area during the consultation.
Thank you for your assistance!

Emily, 30~39 year old female. Ask Date: 2021/10/01

Dr. Wu Yuxin reply Dermatology

In dermatology, it is essential for the physician to visually examine the lesions in order to make an accurate diagnosis.

Reply Date: 2021/10/01

More Info

When dealing with pubic acne, it's essential to determine the underlying cause of the condition to decide whether to consult a gynecologist or a dermatologist. Pubic acne can manifest as bumps or pimples in the pubic area, often near the labia or in areas with dense hair growth, and can be accompanied by symptoms such as itching and pain.

Choosing the Right Specialist
1. Dermatologist: A dermatologist specializes in skin conditions and is well-equipped to diagnose and treat various types of acne, including those that occur in sensitive areas like the pubic region. They can provide treatments for acne that may include topical medications, oral medications, or other therapies tailored to your specific skin type and condition.

2. Gynecologist: A gynecologist focuses on women's reproductive health and can address issues related to hormonal imbalances, infections, or other gynecological concerns that might contribute to acne in the pubic area. If you suspect that your acne may be related to hormonal changes, menstrual cycles, or other reproductive health issues, a gynecologist may be the appropriate choice.

Symptoms and Diagnosis
Given your description of the acne being painful, itchy, and sometimes hard to the touch, it is crucial to have a professional evaluation. The presence of these symptoms could indicate several conditions, including:
- Folliculitis: An infection or inflammation of the hair follicles, which can occur in areas with dense hair.

- Cysts: Sometimes, what feels like acne can be cysts, which may require different treatment.

- Ingrown hairs: These can also cause bumps and may become infected, leading to pain and discomfort.

Physical Examination
Regardless of whether you choose to see a dermatologist or a gynecologist, it is likely that the doctor will need to perform a physical examination of the affected area. This examination is crucial for:
- Accurate Diagnosis: Visual inspection allows the doctor to assess the characteristics of the acne, such as size, color, and texture, which can provide clues about the underlying cause.

- Treatment Plan: Based on the diagnosis, the doctor can recommend an appropriate treatment plan, which may include topical treatments, oral medications, or lifestyle changes.

Treatment Options
Treatment for pubic acne can vary depending on the diagnosis. Common treatments may include:
- Topical Antibiotics: If the acne is due to bacterial infection, topical antibiotics may be prescribed.

- Retinoids: These can help unclog pores and reduce inflammation.

- Hormonal Treatments: If hormonal imbalances are contributing to the acne, hormonal therapies may be considered.

- Antihistamines: If itching is severe, antihistamines may help alleviate discomfort.

Conclusion
In summary, if you are experiencing persistent acne in the pubic area, it is advisable to seek medical attention. You can choose to see either a dermatologist or a gynecologist based on your symptoms and concerns. Both specialists can provide valuable insights and treatment options. A physical examination will likely be necessary to determine the best course of action. Remember, early intervention can lead to better outcomes and relief from discomfort.

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