a Small Growth in the Perineum: What You Need to Know

I have a lump in my perineum (the area between the anus and the vagina)?

Since the beginning of the year (previously, I did not have this), I have noticed a small protrusion in my perineum.
It does not resemble folliculitis or acne, nor does it look like a blister; it has a shape similar to a wart.
It has consistently maintained the same size (it is quite small).
When I take a close-up photo with my phone, it appears as small clusters of tiny blisters, with a slightly darker flesh color.
I have not paid much attention to it since it is neither painful nor itchy.
It is so small that I cannot determine if it is hard or soft by pressing it with my finger, but I can feel its presence.
From the beginning of the year until now (October), it did shrink at one point, and I was hopeful it would disappear, but it did not completely go away and returned to its original size, which is where it stands now.
There are no abnormalities in other areas of my vulva (both visually with my phone camera and by touch, everything feels smooth).
I have also searched online but found no relevant information.
Regarding sexual activity: I would like to ask the doctor what this situation might be.

Nancy, 10~19 year old female. Ask Date: 2021/10/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is difficult to determine the type of lesion.
If the symptoms persist, it is recommended to seek a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2021/10/03

More Info

When it comes to a small growth in the perineum, it is essential to approach the situation with caution and a clear understanding of potential causes. Based on your description, it seems that you have a small, non-painful, non-itchy bump that resembles a cluster of small blisters or warts, which has remained relatively stable in size since you first noticed it. Given that it has not caused any discomfort or other symptoms, it is understandable that you might be concerned yet unsure about the next steps.

Possible Causes
1. Seborrheic Keratosis: This is a common benign skin growth that can appear anywhere on the body, including the perineum. They are usually brown, black, or light tan and have a waxy, scaly appearance. They are harmless and typically do not require treatment unless they become irritated or for cosmetic reasons.

2. Skin Tags: These are small, soft pieces of skin that hang off the body and can occur in various areas, including the perineum. They are usually painless and benign.

3. Warts (Verrucae): Caused by the human papillomavirus (HPV), warts can appear as small, rough bumps. They can be flesh-colored or darker and may cluster together. While they are generally harmless, they can be contagious.

4. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can sometimes resemble small bumps or blisters.

5. Cysts: Epidermoid cysts can form under the skin and may feel like small lumps. They are usually benign and can be left untreated unless they become infected or bothersome.

Recommendations
1. Observation: Since the growth has not changed significantly in size or caused any discomfort, it may be reasonable to monitor it for any changes. If it starts to grow, change in color, or cause pain, it would be advisable to seek medical attention.

2. Consultation with a Healthcare Provider: Given that you have concerns about the growth, it would be prudent to consult with a dermatologist or a healthcare provider specializing in skin conditions. They can perform a physical examination and may recommend a biopsy if there is any suspicion of a more serious condition.

3. Avoid Self-Diagnosis: While it’s tempting to search online for answers, self-diagnosis can often lead to unnecessary anxiety. A healthcare professional can provide a more accurate diagnosis and appropriate treatment options.

4. Hygiene and Care: Maintain good hygiene in the area to prevent any potential irritation or infection. Avoid tight clothing that may rub against the area, and consider using gentle, fragrance-free soaps.

5. Sexual Activity: If you are sexually active, it’s essential to communicate with your partner about any concerns you have regarding the growth. If there is any change in symptoms, such as pain during intercourse or unusual discharge, seek medical advice promptly.

Conclusion
In summary, while the small growth you describe in the perineum may be benign, it is always best to err on the side of caution. Consulting with a healthcare provider will provide you with peace of mind and ensure that any necessary treatment is administered. Regular monitoring and maintaining good hygiene can help manage the situation effectively. Remember, early intervention is key to addressing any potential issues that may arise.

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