Painful Bumps: When to See a Gynecologist - Obstetrics and Gynecology

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Strange lump?


Hello, Doctor: I have an awkward question.
I'm not sure which specialty to see, so...
I have a large bump between my labia and anus that is painful and seems to be growing.
A few days ago it seemed okay, but today I noticed a small point protruding at the front of the bump.
It is itchy and painful, and it feels somewhat hard and fluid-filled, similar to a pimple that might become pus-filled.
I have a strong urge to pop it, but I'm unsure if it will release pus like a pimple.
However, since it's in such an awkward area, I'm worried about a bacterial infection, especially since my period is coming in a couple of days and I'm afraid of aggravating it.
Please help me...
What should I do? Which specialty should I see? P.S.
I had a similar experience before, but that bump was inside my labia and had pus.
I went to see a gynecologist, and she said it was a bacterial infection.
Thank you...

gan'ga de, 20~29 year old female. Ask Date: 2003/10/24

Dr. Lin Manying reply Obstetrics and Gynecology


The area you described is likely the perineum.
The more common issues are 1.
folliculitis 2.
subcutaneous tissue infection (cellulitis) 3.
perineal fistula 4.
anal abscess.
Please consult a gynecologist for an examination.

Reply Date: 2003/10/24

More Info


When it comes to painful bumps in the genital area, it's essential to approach the situation with care and understanding. Based on your description, it sounds like you may be experiencing a condition that could be related to a few different possibilities, such as a cyst, an abscess, or even a sexually transmitted infection (STI). Given the sensitive nature of the area and the symptoms you are describing—pain, itching, and the appearance of a bump that feels hard and possibly fluid-filled—it is advisable to seek medical attention from a gynecologist.


Why See a Gynecologist?
1. Expertise in Female Reproductive Health: Gynecologists specialize in women's health, particularly issues related to the reproductive system. They are well-equipped to diagnose and treat conditions that may arise in the genital area.

2. Accurate Diagnosis: The symptoms you describe could be indicative of several conditions, including:
- Bartholin's Cyst: This occurs when the Bartholin glands, located at the vaginal opening, become blocked, leading to a fluid-filled cyst that can become painful or infected.

- Folliculitis: This is an infection of the hair follicles that can cause red, painful bumps that may resemble pimples.

- Abscess: If the bump is indeed an abscess, it may require drainage and antibiotic treatment.

- STIs: Certain sexually transmitted infections can cause painful lesions or bumps in the genital area.

3. Preventing Complications: Attempting to pop or drain the bump yourself can lead to further infection or complications, especially in such a sensitive area. A healthcare professional can safely assess and treat the issue.

4. Management of Symptoms: A gynecologist can provide appropriate pain management and treatment options, which may include antibiotics if an infection is present or other medications to alleviate discomfort.


What to Expect During Your Visit
When you visit a gynecologist, they will likely perform a physical examination to assess the bump and any other symptoms you may have. They may ask about your medical history, including any previous occurrences of similar bumps, your menstrual cycle, and any other relevant health information. Depending on their findings, they may recommend:
- Ultrasound or Imaging: To get a clearer picture of what is happening beneath the skin.

- Culture Tests: If an infection is suspected, they may take a sample to identify the causative organism.

- Treatment Options: This could range from antibiotics for infections to minor surgical procedures for cysts or abscesses.


Additional Considerations
- Menstrual Cycle: Since you mentioned that your period is approaching, it’s important to note that hormonal changes can sometimes exacerbate skin conditions, including those in the genital area. However, this does not diminish the need for medical evaluation.

- Hygiene Practices: Maintaining good hygiene can help prevent infections, but it’s crucial to avoid self-treatment of bumps or lesions in the genital area.

- Avoiding Irritation: Until you can see a doctor, try to avoid tight clothing and irritants that could exacerbate the pain or discomfort.

In conclusion, while it may feel awkward to discuss these issues, remember that gynecologists are trained to handle such situations with professionalism and care. Seeking help promptly can lead to effective treatment and peace of mind. Don't hesitate to make an appointment as soon as possible to address your concerns.

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