a Bump on the Left Side of the Scrotum: Causes and Concerns

Q: a Bump on the Left Side of the Scrotum: Causes and Concerns

Hello： Syphilis is diagnosed through blood tests, and the symptoms can vary widely. <br>However, you should pay attention to cleanliness and dryness regarding your symptoms. <br>Folliculitis is also a possibility. <br>Wishing you good health.

A noticeable lump has been found on the upper left side of the scrotum?

A few days ago, I noticed a red, raised spot on the left side of my scrotum, about the size of a grain of rice.
The center was white, and it appeared to have small flakes of skin around it, feeling somewhat dry.
Upon visual inspection, it was slightly raised.
When I pulled back the skin of the scrotum to examine it, the protrusion was less noticeable.
The next day, I observed that the white center had disappeared and turned into a pinkish flesh, resembling the healing tissue of a wound after a fall.
I wondered if it was a pimple, thinking it was on the verge of healing.
However, today, upon further observation, I noticed that a small red dot had emerged in the center, similar to what appears after squeezing a pimple.
I tried to squeeze it, but no fluid or blood came out.
Over the past three days, I have observed that it does not hurt when pressed, and it does not feel significantly raised.
Although I have had a steady partner for a year, I am slightly concerned that it could be a primary chancre of syphilis, as the symptoms are mild and resemble a pimple.
However, typically, pimples are painful, and I have experienced them before.
I thoroughly examined my genital area, and this is the only spot present; there are no other lesions on my penis or scrotum.
I wonder if it could be due to grooming a little over a week ago, possibly pulling on a hair follicle and causing inflammation, or if I inadvertently scratched a small wound after grooming.
I am certain that I did not notice this spot appearing a week ago after grooming.

Mr. Zeng, 20~29 year old female. Ask Date: 2022/01/01

Dr. Du Shixi reply Urology

Hello: Syphilis is diagnosed through blood tests, and the symptoms can vary widely.
However, you should pay attention to cleanliness and dryness regarding your symptoms.
Folliculitis is also a possibility.
Wishing you good health.

Reply Date: 2022/01/01

More Info

When it comes to noticing a bump on the left side of the scrotum, there are several potential causes to consider. Based on your description, the bump is small, red, and has changed in appearance over a few days, which suggests it could be a benign condition. However, it is essential to approach this situation with caution and awareness of the various possibilities.

1. Folliculitis: Given that you mentioned recently grooming the area, it is possible that you have developed folliculitis, which is an inflammation of the hair follicles. This condition can occur when hair follicles become infected, often due to bacteria or irritation from shaving. The presence of a small bump that appears red and has a white center could indicate a clogged follicle or a small pustule. Typically, folliculitis is not painful, but it can cause discomfort or itching.

2. Pearly Penile Papules: Another benign possibility is pearly penile papules, which are small, harmless bumps that can appear around the corona of the penis or on the scrotum. They are usually flesh-colored or white and do not cause pain or discomfort. These are normal anatomical variations and do not require treatment unless they cause cosmetic concerns.

3. Sebaceous Cyst: A sebaceous cyst is another potential cause. These cysts form when a sebaceous gland becomes blocked, leading to a small, painless lump filled with a fatty substance. They can appear anywhere on the body, including the scrotum, and are generally harmless.

4. Infection or STD: While your symptoms do not strongly suggest a sexually transmitted infection (STI), it is essential to consider this possibility, especially since you expressed concern about syphilis. Early lesions of syphilis, known as chancres, can appear as painless sores. However, these typically do not resemble the bump you described. If you have had unprotected sexual contact or are experiencing other symptoms (such as fever, rash, or swollen lymph nodes), it would be prudent to get tested for STIs.

5. Trauma or Irritation: As you mentioned, it is possible that grooming could have caused minor trauma to the area, leading to irritation or a small hematoma (a localized collection of blood outside of blood vessels). This could explain the bump and the changes in color as it heals.

Given the changes you have observed in the bump over the past few days, it is advisable to monitor it closely. If it continues to change, grows larger, becomes painful, or if you develop any additional symptoms (such as fever, discharge, or swelling in the groin), you should seek medical attention. A healthcare provider can perform a physical examination and may recommend further tests, such as a swab or biopsy, if necessary, to determine the exact nature of the bump.

In summary, while the bump on your scrotum may be benign, it is essential to remain vigilant and consult a healthcare professional if you have any concerns. Early diagnosis and treatment can help prevent complications and provide peace of mind.

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