Is It an STD? Urological Concerns and Symptoms - Urology

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Is it a sexually transmitted infection (STI)?


Hello, Doctor: I noticed a bump near my genital area during middle school that resembled a sore.
It is not painful and does not produce any unusual discharge.
Sometimes it becomes larger if I scratch it slightly, and it tends to grow more with continued scratching.
At that time, I had no sexual experience, but I remember an incident in kindergarten when a male classmate pulled down my pants and performed oral sex on me.
I did not resist at that time...

Jia, 20~29 year old female. Ask Date: 2005/04/18

Dr. Cai Bingkun reply Urology


Hello! For issues related to the skin of the external genitalia, please visit a dermatology or urology clinic for evaluation (seeing is believing).
Thank you for your inquiry, and I wish you health and happiness!

Reply Date: 2005/04/18

More Info


When it comes to urological concerns, particularly those involving lesions or bumps near the genital area, it is essential to approach the situation with care and a thorough understanding of potential causes. Based on your description of a bump that resembles a sore, which does not cause pain and occasionally breaks when scratched, there are several possibilities to consider.
Firstly, it is important to note that not all bumps or sores in the genital area are sexually transmitted diseases (STDs). Many benign conditions can present similarly. For instance, the bump you describe could be a sebaceous cyst, which is a common, non-cancerous growth that can occur anywhere on the body, including the genital area. These cysts are typically harmless and can sometimes become inflamed or infected, leading to discomfort or drainage.

Another possibility is a condition known as folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles, and it may present as small, red bumps or pustules. If the bump is indeed a result of folliculitis, it may resolve on its own or with proper hygiene and care.

However, given your history and the fact that you experienced an incident of potential sexual abuse in childhood, it is crucial to consider the possibility of sexually transmitted infections (STIs) as well. Some STIs, such as herpes or genital warts (caused by the human papillomavirus), can present as sores or bumps in the genital area. Herpes typically appears as painful blisters, while genital warts may be painless and can vary in appearance.

It is also worth mentioning that the presence of a bump that worsens with scratching could indicate a skin condition such as eczema or psoriasis, which can also affect the genital area and lead to irritation and secondary infections.

Given the complexity of your symptoms and the potential implications of your past experiences, it is highly advisable to seek a consultation with a healthcare professional, preferably a urologist or a dermatologist. They can perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the exact nature of the bump. This may include swabs for STIs, skin scrapings, or even a biopsy if deemed necessary.

In conclusion, while the bump you describe may not necessarily indicate an STD, it is essential to have it evaluated by a medical professional to rule out any serious conditions and to receive appropriate treatment if needed. Early diagnosis and intervention can help alleviate any concerns and ensure your overall health and well-being. Remember, it is always better to err on the side of caution when it comes to your health, especially regarding sensitive areas such as the genital region.

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