Skin Bumps: What They Could Mean for Teens - Obstetrics and Gynecology

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Sexually transmitted diseases (STDs)


Hello, I am a second-year junior high school student.
Since the fifth grade of elementary school, I have had small lump-like things near my genitals and on my thighs.
Now, they have also appeared on my buttocks, but not near the anus.
What kind of condition do I have? Please let me know.
I have never engaged in sexual activity.
Thanks!

Xiang, 10~19 year old female. Ask Date: 2004/05/16

Dr. Li Guanghan reply Obstetrics and Gynecology


Based on your description, it could be either flat warts or genital warts (condyloma acuminatum).
The former is more likely since you have not engaged in sexual intercourse, while the latter is primarily transmitted through sexual contact and is classified as a sexually transmitted infection (STI).
The former is also a viral infection (not an STI), but it still requires treatment.
Therefore, you must visit a hospital for STI treatment.
Images cannot accurately distinguish between the two, so it is advisable to seek medical attention.
Dr.
Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu City Hospital.

Reply Date: 2004/05/16

More Info


Hello! Thank you for reaching out with your concerns regarding the small bumps you've noticed around your genital area and thighs. It's understandable to feel worried about changes in your skin, especially during your teenage years when your body is going through many changes.

Based on your description, there are several potential explanations for the small bumps you are experiencing. One common cause in adolescents is a condition known as folliculitis, which is the inflammation of hair follicles. This can lead to small, red, or white bumps that may be itchy or tender. Folliculitis can occur anywhere on the body where hair follicles are present, including the thighs and genital area.

Another possibility is keratosis pilaris, a benign condition characterized by small, rough bumps on the skin, often described as "chicken skin." This condition is caused by the buildup of keratin, a protein in the skin, and is usually harmless. It can appear on the thighs, upper arms, and sometimes on the buttocks.

Additionally, molluscum contagiosum is a viral skin infection that can cause small, firm, raised bumps with a dimple in the center. This condition is common in children and adolescents and is usually spread through direct skin-to-skin contact. It is important to note that this condition is not sexually transmitted, so your lack of sexual activity is not a concern in this context.

While these conditions are generally harmless, it is crucial to monitor any changes in your skin. If the bumps become painful, itchy, or if you notice any changes in color or size, it would be wise to consult a healthcare professional or a dermatologist. They can provide a proper diagnosis and recommend appropriate treatment options if necessary.

In the meantime, here are some general tips to help manage your skin health:
1. Keep the area clean: Gently wash the affected areas with mild soap and water. Avoid harsh scrubs or exfoliants that can irritate the skin further.

2. Moisturize: Applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent dryness, which may exacerbate certain conditions.

3. Avoid tight clothing: Wearing loose-fitting clothing can help reduce friction and irritation in the affected areas.

4. Do not pick or scratch: It can be tempting to pick at bumps, but this can lead to infection or scarring.

5. Sun protection: If you are spending time outdoors, make sure to use sunscreen to protect your skin from UV damage.

Remember, it’s always best to consult with a healthcare provider for any skin concerns, especially if they persist or worsen. They can provide you with the most accurate information and treatment options tailored to your specific situation. Take care, and I hope you find relief soon!

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