A lesion in the genital area that is itchy and bleeding?
Hello, Doctor.
In March of this year, I noticed a growth near the anal area of my vulva, and I'm unsure what it is.
It resembles a wart-like protrusion, is slightly itchy and painful, appears pinkish in color, has some bruising at the tip, and occasionally oozes blood.
I visited a gynecologist, but the doctor couldn't identify it and suggested I see a dermatologist.
After a few days without discomfort, I ignored it, but it has flared up again in the last two days.
Is it appropriate to see a dermatologist? I feel like it doesn't resemble a Bartholin's gland cyst, genital warts, or folliculitis.
What could it possibly be?
Niming, 40~49 year old female. Ask Date: 2021/11/18
Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
Only after an examination can the problem be identified and addressed.
Reply Date: 2021/11/18
More Info
When it comes to skin growths, particularly those located near sensitive areas such as the anus, it is essential to approach the situation with caution and seek professional medical advice. Based on your description of the growth being somewhat like a wart, itchy, and occasionally bleeding, there are several potential conditions that could be at play.
1. Skin Tags: These are benign growths that can appear in various areas of the body, including near the anus. They are usually flesh-colored or slightly darker and can sometimes become irritated, leading to itching or bleeding.
2. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause discomfort, itching, and sometimes bleeding. They can appear as lumps and may be mistaken for other types of growths.
3. Anal Warts (Condyloma Acuminatum): Caused by the human papillomavirus (HPV), these warts can appear as small, flesh-colored or gray growths. They can be itchy and may bleed if irritated.
4. Folliculitis: This is an inflammation of the hair follicles that can occur anywhere on the body, including the anal area. It can cause red, itchy bumps that may ooze or bleed if scratched.
5. Bartholin's Gland Cyst: While typically located near the vaginal opening, cysts can sometimes cause discomfort and may be mistaken for growths near the anus. They can become infected, leading to pain and swelling.
Given that you have already consulted with a gynecologist who recommended seeing a dermatologist, this is a prudent step. Dermatologists specialize in skin conditions and will be able to provide a more accurate diagnosis through a physical examination and possibly additional tests.
Recommendations for Management:
- Avoid Irritation: Until you see a dermatologist, try to avoid scratching or irritating the area further. This can help prevent any potential bleeding or infection.
- Maintain Hygiene: Keep the area clean and dry. Use mild soap and avoid harsh chemicals or fragrances that could exacerbate irritation.
- Monitor Symptoms: Keep track of any changes in the growth, such as size, color, or the presence of pain or bleeding. This information will be helpful for your dermatologist.
- Avoid Self-Diagnosis: While it can be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or mismanagement. Trust the expertise of healthcare professionals.
- Follow Up: If the growth worsens or if you experience significant discomfort, do not hesitate to seek immediate medical attention.
In conclusion, while it is understandable to feel concerned about any new growths or changes in your skin, the best course of action is to consult with a dermatologist. They will be able to provide a thorough evaluation and recommend appropriate treatment options based on the specific diagnosis. Remember, early intervention can often lead to better outcomes, so do not delay in seeking care.
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