Suspected folliculitis?
Hello doctor, I am a male and recently noticed a small bump resembling a pimple at the junction of my pubic hair and penis.
It doesn't cause any discomfort or itching under normal circumstances, but it is slightly painful when pressed or squeezed.
The surface appears red.
Does this symptom resemble folliculitis? Do I need to see a doctor? If so, should I visit a urologist or a dermatologist? Thank you, doctor.
Niming, 10~19 year old female. Ask Date: 2021/10/12
Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only and cannot replace a physician's examination, assessment, or testing.
It may be folliculitis.
Currently, keep the area clean and dry.
If there are many lesions, such as more than 10, it is advisable to seek medical attention from a urologist or dermatologist, with urology being a potentially better option.
Wishing you good health.
Reply Date: 2021/10/12
More Info
Folliculitis is a common skin condition that occurs when hair follicles become inflamed, often due to infection, irritation, or blockage. The symptoms you describe—a small, painful bump in the pubic area that appears red and resembles a pimple—could indeed be indicative of folliculitis. This condition can arise from various factors, including bacterial infections (most commonly Staphylococcus aureus), fungal infections, or even irritation from shaving or friction from clothing.
In your case, since the bump is painful when pressed but does not itch or cause significant discomfort, it is essential to monitor it closely. Folliculitis can sometimes resolve on its own, especially if it is mild and not caused by a severe infection. However, if the bump persists, increases in size, or if you notice additional symptoms such as increased redness, swelling, or pus, it would be prudent to seek medical attention.
Regarding whether to see a urologist or a dermatologist, both specialists can address skin-related issues, but their focus differs slightly. A dermatologist specializes in skin, hair, and nail conditions, making them well-suited to diagnose and treat folliculitis and other skin disorders. On the other hand, a urologist specializes in urinary tract and male reproductive system issues. If you have concerns that extend beyond the skin, such as urinary symptoms or issues related to the genital area, a urologist may be appropriate.
In summary, if the bump does not improve or worsens, I recommend scheduling an appointment with a dermatologist. They can provide a thorough examination and determine the best course of treatment, which may include topical antibiotics or antifungal medications if an infection is present. Additionally, they can offer advice on proper hygiene and care to prevent future occurrences.
In terms of prevention, here are some tips to consider:
1. Avoid Irritation: If you shave the area, ensure you use a clean razor and shaving cream to minimize irritation. Consider using an electric trimmer instead of a razor if you frequently experience folliculitis.
2. Keep the Area Clean: Regularly wash the area with mild soap and water to reduce the risk of infection.
3. Wear Loose Clothing: Tight clothing can cause friction and irritation, leading to folliculitis. Opt for breathable fabrics to allow the skin to stay dry and reduce irritation.
4. Avoid Sharing Personal Items: Do not share towels, razors, or other personal items that may harbor bacteria.
If you notice any changes in the bump or develop new symptoms, do not hesitate to seek medical advice. Early intervention can help prevent complications and ensure proper treatment.
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