Painful Bumps in the Groin Area: What You Need to Know - Obstetrics and Gynecology

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Something that resembles acne..?


Hello! I often experience inflammation of the labia, and after taking anti-inflammatory medication, it resolves like a pimple that drains pus.
However, recently I have noticed a hard, pimple-like bump in the area where hair grows on the lower abdomen, near the right thigh and groin.
Sometimes it itches, and scratching it causes some pain.
It has been present for almost a month, and I am unsure what it is, so I would like to ask for your advice.
Thank you!

beibi, 20~29 year old female. Ask Date: 2003/09/16

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello, internet user: You may be suffering from a Bartholin gland cyst or folliculitis.
We welcome you to visit our clinic for a thorough examination and appropriate treatment.

Reply Date: 2003/09/16

More Info


Understanding painful bumps in the groin area can be concerning, especially when they persist for an extended period. Based on your description, it sounds like you may be dealing with a condition that could be related to several potential causes, including infections, cysts, or even dermatological issues.

Firstly, the bump you described near your groin that feels hard and sometimes itches could be a sebaceous cyst. These cysts are common and occur when a hair follicle becomes blocked, leading to the accumulation of keratin and sebum. They can feel firm to the touch and may become inflamed or infected, resulting in pain and discomfort. If the cyst becomes infected, it may produce pus, similar to what you described with your previous experience of inflammation in the labia.

Another possibility is a condition known as folliculitis, which is the inflammation of hair follicles. This can occur due to bacterial or fungal infections, often exacerbated by friction, shaving, or wearing tight clothing. Folliculitis can present as red, itchy bumps that may resemble acne and can be painful if they become inflamed.

Additionally, considering the location of the bump, it could also be a lymph node that has become enlarged due to an infection or other underlying condition. Lymph nodes can swell in response to infections in the body, and while they are usually soft and movable, they can sometimes feel firm.

Given that this bump has persisted for nearly a month, it is essential to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend further diagnostic tests, such as an ultrasound, to determine the nature of the bump. They may also consider a culture if there is any drainage or signs of infection to identify the specific bacteria or fungi involved.

In the meantime, it is advisable to avoid squeezing or picking at the bump, as this can lead to further irritation or infection. Keeping the area clean and dry can help prevent additional complications. If you experience increased pain, redness, swelling, or fever, these could be signs of a more serious infection, and you should seek medical attention promptly.

In summary, while the bump you are experiencing could be a sebaceous cyst, folliculitis, or an enlarged lymph node, it is crucial to have it evaluated by a healthcare professional to determine the exact cause and appropriate treatment. Early intervention can help prevent complications and ensure a quicker resolution of your symptoms.

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