Labial Growths: What to Know About Lumps and Bumps

Q: Labial Growths: What to Know About Lumps and Bumps

Hello： Please visit a gynecology and obstetrics clinic for examination. <br>If it is genital warts (condylomata acuminata), treatment options include electrocautery or topical medications at Hsinchu Hospital, Department of Obstetrics and Gynecology.

Sarcoma of the inner labia majora

Today, while taking a shower, I suddenly noticed a flesh-colored bump about the size of a soybean on the inner side of my labia majora.
It is quite noticeable against the darker skin of my labia.
It is not painful or itchy when touched.
I believe it has developed within the past week.
I noticed it because about two weeks ago, I experienced some pain in the area between my right labia and thigh, which felt like a pimple.
Upon inspection, I found a black spot there.
After two or three days, it flattened out and became painless and unnoticeable.
However, on the left side, in a roughly symmetrical location, I felt some itchiness and discovered a raised black mole-like bump, which has also flattened out and is now painless, although there is still a black dot present.
Prior to this, my husband had a wart with four petal-like projections that appeared between his left testicle and thigh.
We suspect he may have contracted it from swimming in an indoor pool, and it has since been removed by electrosurgery at a dermatology clinic.
All of these events have occurred within the last month.
I am unsure if there is any connection between these issues.
Should I see a gynecologist? What would the treatment entail? I look forward to your guidance.
Thank you, a nervous 50-year-old papa.

papa, 50~59 year old female. Ask Date: 2005/03/22

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: Please visit a gynecology and obstetrics clinic for examination.
If it is genital warts (condylomata acuminata), treatment options include electrocautery or topical medications at Hsinchu Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/03/22

More Info

When it comes to understanding labial growths, particularly lumps and bumps on the labia, it’s important to approach the situation with a clear understanding of potential causes, implications, and the appropriate steps for evaluation and management.

Based on your description, you have noticed a new growth on the labia that is about the size of a soybean, which is flesh-colored and painless. You also mentioned previous symptoms, including a painful bump that resolved on its own, and a black spot that appeared and then flattened. Additionally, you noted that your partner had a growth that was treated by a dermatologist.
Firstly, it’s essential to recognize that labial growths can arise from various causes, including but not limited to:
1. Sebaceous Cysts: These are common and typically harmless. They occur when sebaceous glands become blocked and can appear as small lumps under the skin.

2. Folliculitis: This is an inflammation of hair follicles, which can present as red bumps or pustules. It can be caused by irritation, infection, or even friction.

3. Warts: Genital warts are caused by the human papillomavirus (HPV) and can appear as small, flesh-colored or gray lumps. They can be transmitted through skin-to-skin contact, which may explain the connection to your partner's recent growth.

4. Moles or Skin Tags: These are benign growths that can occur anywhere on the body, including the labia.

5. Bartholin's Gland Cysts: These can occur if the Bartholin's glands become blocked, leading to a fluid-filled cyst that can be felt as a lump.

Given that the growth is painless and has not changed significantly, it may be less concerning, but it is still important to have it evaluated by a healthcare professional.

Recommendations for Evaluation and Management:
1. Consult a Gynecologist: Given the location of the growth, a gynecologist would be the most appropriate specialist to evaluate your condition. They can perform a physical examination and may recommend further tests if necessary.

2. Monitoring: If the growth is not causing any discomfort and appears benign, your doctor may suggest monitoring it for changes in size, shape, or symptoms over time.

3. Biopsy: If there is any concern about the nature of the growth, a biopsy may be performed to rule out any malignancy or other conditions.

4. Treatment Options: If the growth is determined to be a cyst or a benign lesion, treatment may not be necessary unless it causes discomfort. In cases of warts or other infectious lesions, treatments may include topical medications, cryotherapy, or other dermatological procedures.

5. Education on HPV: Since your partner had a growth that was treated, it may be beneficial to discuss HPV vaccination and screening for sexually transmitted infections (STIs) with your healthcare provider.

Conclusion:
While it’s understandable to feel anxious about new growths, many labial lumps are benign and can be managed effectively with the right medical guidance. It’s crucial to seek a professional evaluation to ensure proper diagnosis and treatment. Remember that open communication with your healthcare provider about any changes or concerns is key to maintaining your health.

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