Small nodules appear on the vulva?
Hello doctor, about two months ago, while taking a shower, I noticed a few small bumps in the area between the vulva and the labia minora (they feel like a row of them).
They are not clearly visible to the naked eye, but I can feel them.
After two months of observation, they haven't increased in size, but they also haven't disappeared.
I later found that after drying the area, I couldn't feel the bumps anymore.
I would like to ask if these could be hair follicles or if they might be early signs of genital warts.
I have had sexual intercourse, with the last time being three months ago.
My boyfriend's genital area does not show any obvious abnormalities.
Thank you for your help, doctor.
Ms. Wu, 20~29 year old female. Ask Date: 2023/12/24
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description of symptoms, it is recommended that you seek a physician's diagnosis and treatment if symptoms persist.
Thank you! Wishing you safety and good health.
Dr.
Chang
Reply Date: 2023/12/24
More Info
When it comes to small bumps on the vulva, there are several potential causes, and understanding these can help alleviate concerns. The fact that you have observed these bumps for two months without any significant change in size or appearance is a positive sign, but it is still important to consider various possibilities.
One common cause of small bumps in the vulvar area is the presence of sebaceous cysts or clogged pores. These can feel like small, firm lumps under the skin and are typically harmless. They may become more noticeable when the area is dry or when you are examining it closely. If these bumps disappear when the area is moist, it could indicate that they are related to the skin's texture or oil glands rather than a pathological condition.
Another possibility is the presence of folliculitis, which is an inflammation of the hair follicles. This can occur due to irritation, infection, or blockage of the follicles, leading to small, raised bumps. Folliculitis is usually not serious and can resolve on its own, but maintaining proper hygiene and avoiding tight clothing can help prevent irritation.
Genital warts, caused by the human papillomavirus (HPV), are another consideration, especially since you mentioned having had sexual intercourse. These warts can appear as small, flesh-colored or gray bumps and may cluster together. However, they typically have a distinct appearance and texture compared to other types of bumps. If you suspect that these bumps could be genital warts, it is advisable to consult a healthcare provider for an accurate diagnosis and potential treatment options.
Additionally, other conditions such as molluscum contagiosum, which is a viral skin infection, or even herpes simplex virus lesions could present as small bumps. However, these conditions often come with additional symptoms, such as itching, pain, or the appearance of blisters.
Given that you have had sexual activity, it is also essential to consider sexually transmitted infections (STIs). While your boyfriend does not show any visible signs of infection, it is still possible for asymptomatic infections to be present. Regular STI screenings are recommended for sexually active individuals, especially if there are any concerns about potential exposure.
In conclusion, while the small bumps you are experiencing could be benign, such as sebaceous cysts or folliculitis, it is crucial to monitor them closely. If they change in size, become painful, or if you develop any additional symptoms (such as itching, discharge, or unusual odor), it would be wise to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend tests to rule out any infections or other conditions. Regular check-ups and open communication with your healthcare provider about any changes in your body are key to maintaining reproductive health.
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