Vulvar Issues: A Guide for Seniors and Caregivers

Vulvar issues

Hello, Director Cao.
My elderly family member is 78 years old and is a devout Buddhist.
Due to a spinal injury, they have been unable to move and have stayed at home for many years.
Recently, they discovered a small lump in the area of the external genitalia, specifically on the labia, which is smaller than a green bean.
It is neither hard nor soft, but when pressed, it causes bleeding.
The elderly person is very worried and finds it inconvenient to go out.
I would like to ask Director Cao if this situation is serious and what condition it might be.
Thank you very much for your help.

Jini, 70~79 year old female. Ask Date: 2024/05/15

Dr. Cao Guotao reply Obstetrics and Gynecology

It could possibly be inflammation, but it is recommended to see a gynecologist for a check-up to determine the issue.
Wishing you good health.

Reply Date: 2024/05/15

More Info

Understanding vulvar issues, especially in seniors, is crucial for maintaining their health and well-being. The situation you described regarding your elderly relative, who has developed a small, non-hard, non-soft lump in the vulvar area, raises several important considerations.
Firstly, it is essential to recognize that changes in the vulvar area can occur due to various reasons, particularly in older adults. These changes may include benign conditions such as cysts, skin tags, or sebaceous cysts, which are generally harmless. However, they can also be indicative of more serious conditions, including infections, inflammatory diseases, or even malignancies.
Given that the lump is described as small and has bled upon pressure, it is advisable to approach this situation with caution. Bleeding can be a sign of irritation or injury, but it can also indicate a more significant underlying issue. The fact that your relative has limited mobility and has not been able to seek medical attention adds to the urgency of the situation.
Here are some steps to consider:
1. Observation: Monitor the lump for any changes in size, color, or texture. If it becomes larger, changes in appearance, or if your relative experiences increased pain or discomfort, it is crucial to seek medical attention promptly.

2. Hygiene: Ensure that the area is kept clean and dry. Good hygiene can help prevent infections, especially if there is any irritation or injury to the skin.

3. Avoid Irritation: Advise your relative to avoid any products that may irritate the area, such as scented soaps, lotions, or tight clothing.
4. Consult a Healthcare Provider: Given the age of your relative and the presence of a new lump, it is important to consult a healthcare provider. If mobility is an issue, consider arranging for a home visit by a healthcare professional or utilizing telemedicine services if available.
5. Potential Tests: A healthcare provider may recommend a physical examination and possibly imaging studies or a biopsy to determine the nature of the lump.
6. Education and Support: Educate your relative about the importance of regular check-ups, even if they are homebound. Encourage them to communicate any new symptoms or changes in their health.

7. Mental Well-being: Address any anxiety or fear your relative may have regarding this new development. Providing emotional support and reassurance can help alleviate some of their concerns.

In summary, while the lump may be benign, it is essential to take it seriously, especially considering your relative's age and health status. Prompt medical evaluation is the best course of action to ensure proper diagnosis and treatment. Regular monitoring and good hygiene practices can help manage the situation until professional help is obtained.

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