Vulvar Masses: Causes, Symptoms, and When to Seek Help

Vulvar mass

Hello Doctor, a couple of days ago I noticed a round lump on the inner part of the posterior left labium majus, and there were also a few round lumps in the left groin area.
After visiting the gynecologist, the doctor said it was not a Bartholin gland cyst.
An ultrasound of the groin lumps suggested they might just be simple lymphadenitis, and I was prescribed a week of antibiotics with a follow-up appointment.
The next day, the round lump on the left labium majus disappeared, and the swelling on both sides of the groin also reduced.
However, the inner front part of the right labium majus, near the clitoris, has become swollen, and I can feel a round lump inside.
It does not hurt when not touched, but there is slight pain when pressure is applied.
What could this condition be? Do I need to return for an earlier appointment? Thank you.

An, 20~29 year old female. Ask Date: 2021/10/23

Dr. Wu Xianghui reply Obstetrics and Gynecology

A follow-up appointment is necessary to determine the current condition.

Reply Date: 2021/10/23

More Info

When it comes to understanding vulvar masses, it is essential to consider various potential causes, symptoms, and the appropriate times to seek medical help. Based on your description, it seems you have experienced some concerning symptoms, including the presence of lumps in the vulvar area and groin.
Vulvar masses can arise from a variety of conditions, including cysts, infections, or even benign tumors. The fact that your doctor ruled out a Bartholin's gland cyst is a good start, as these are common causes of lumps in the vulvar area. The ultrasound indicating that the groin lumps may be related to lymphadenitis (inflammation of the lymph nodes) suggests that your body is responding to some form of infection or inflammation.

The fact that the lump on the left labia majora has resolved with antibiotic treatment is encouraging. However, the new lump on the right labia minora, especially since it is located near the clitoris and is tender to pressure, warrants further attention. While it may not be painful when not touched, any new or persistent mass should be evaluated to rule out any serious conditions.

Here are some possible causes for the lump you are experiencing:
1. Cysts: These can form in various glands in the vulvar area and may become inflamed or infected.

2. Abscesses: If there is an infection, it could lead to the formation of an abscess, which is a collection of pus that can be painful and may require drainage.

3. Lymphadenopathy: Swollen lymph nodes can indicate an infection in the area, and while they may resolve with treatment, they can also indicate a more systemic issue.

4. Benign tumors: Conditions like fibromas or lipomas can also present as lumps in the vulvar area.

5. Malignant conditions: Although less common, any persistent mass should be evaluated to rule out the possibility of cancer.

Given that you have a new lump that is tender to touch and located near a sensitive area, it is advisable to return to your healthcare provider sooner rather than later. Even if the lump is not causing significant pain, any changes in your body, especially in the genital area, should be taken seriously. Your doctor may want to perform a physical examination, possibly order imaging studies, or even conduct a biopsy if there is any concern about the nature of the mass.

In summary, while your initial treatment seems to have resolved some of your symptoms, the appearance of a new lump should prompt further evaluation. It is always better to err on the side of caution when it comes to health concerns, especially in sensitive areas like the vulva. Make an appointment with your healthcare provider to discuss your symptoms and get a thorough evaluation. Your health and peace of mind are paramount, and addressing these concerns promptly can lead to better outcomes.

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