Painful Bumps and Skin Breaks in the Genital Area

Skin breakdown in the genital area?

Hello Doctor: I have developed something that looks like a pimple between my labia majora and labia minora.
It is painful when pressed and appears swollen.
I noticed today that there is some broken skin, and sometimes it feels a bit itchy.
I would like to ask the doctor what this might be.
Do I need to seek medical attention? What treatments or ointments can I use? Thank you, Doctor!

Niming, 10~19 year old female. Ask Date: 2022/12/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description of symptoms, it may be folliculitis.
I recommend maintaining cleanliness and dryness in the perineal area, avoiding tight clothing, using fewer panty liners, ensuring adequate sleep, and following a light diet.
Additionally, try to minimize stress and prolonged sitting.
Taking a sitz bath may help alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
A physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/12/26

More Info

It sounds like you are experiencing a concerning issue with painful bumps and skin breaks in the genital area. Based on your description, there are several potential causes for the symptoms you are experiencing, and it is important to approach this situation with care.

One possibility is that you may have developed a condition known as a sebaceous cyst. These cysts can appear as small, painful bumps filled with fluid or pus, and they can sometimes become inflamed or infected, leading to pain and discomfort. Another possibility is a folliculitis, which is an inflammation of the hair follicles that can occur in the genital area, often resulting in red, painful bumps that may itch or become crusty.

Additionally, you might be experiencing a condition known as herpes simplex virus (HSV) infection, which can cause painful blisters or sores in the genital area. This is a viral infection that is typically characterized by recurrent outbreaks of painful lesions. If you have a history of cold sores or genital herpes, this could be a possibility.
Another potential cause could be a sexually transmitted infection (STI), such as genital warts caused by the human papillomavirus (HPV) or other infections like syphilis or gonorrhea. These infections can present with various symptoms, including bumps, sores, or unusual discharge.

Given the symptoms of pain, swelling, and skin breakdown, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may take a sample of the affected area to determine the exact cause of your symptoms. They may also ask about your medical history, sexual history, and any other symptoms you may be experiencing.

In terms of treatment, it will depend on the underlying cause. If it is a sebaceous cyst or folliculitis, warm compresses may help reduce inflammation, and in some cases, antibiotics may be prescribed if there is an infection. If it is herpes, antiviral medications can help manage outbreaks and reduce symptoms. For STIs, appropriate antibiotics or antiviral medications will be necessary based on the specific infection.

In the meantime, it is advisable to keep the area clean and dry, avoid any irritants, and refrain from picking at or squeezing the bumps, as this can lead to further irritation or infection. Over-the-counter topical treatments may provide some relief, but it is essential to consult with a healthcare provider before applying any medication to ensure it is appropriate for your condition.

In summary, while there are several potential causes for the painful bumps and skin breaks you are experiencing, it is essential to seek medical evaluation to determine the exact cause and receive appropriate treatment. Do not hesitate to reach out to a healthcare professional for guidance and support. Your health and well-being are important, and addressing these symptoms promptly can help prevent further complications.

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