Painful Redness in the Pubic Area: Causes and Treatments

Redness and swelling with pain on the right side of the pubic hair area?

Hello, in the past two or three days, I have noticed redness and swelling in the lower right area of my pubic hair, close to the inner thigh, about the size of a thumb.
There is also a stinging sensation.
After showering yesterday, I noticed some broken skin with pus and a little blood, similar to when I pop a pimple.
Today, the redness and swelling have increased, and it hurts to touch it lightly.
I would like to know if this is what is commonly referred to as folliculitis? How should I treat it? Thank you.

Hsien Chun, 20~29 year old female. Ask Date: 2001/06/17

Dr. Zheng Lizhen reply Dermatology

Based on your description, your issue may be folliculitis, a boil, or a carbuncle.
It is recommended that you consult a dermatologist nearby for an accurate diagnosis and treatment.
Maintain good hygiene, avoid prolonged sitting, and refrain from wearing tight-fitting pants or non-breathable jeans.

Reply Date: 2001/06/17

More Info

The symptoms you are experiencing in the pubic area, including redness, swelling, pain, and the presence of pus and blood, could indeed be indicative of folliculitis, which is an inflammation of the hair follicles. However, it is essential to consider other potential causes as well, such as an ingrown hair, a skin infection, or even a sexually transmitted infection (STI) if there has been any recent sexual activity.

Folliculitis is typically caused by bacteria (most commonly Staphylococcus aureus), fungi, or irritation from shaving or friction. The condition can present as small red bumps or white-headed pimples around hair follicles, and it can be itchy or painful. If the inflammation progresses, it can lead to pustules that may rupture, resulting in the symptoms you described.

Given that you mentioned the area has expanded and is painful to touch, it is crucial to seek medical attention. Here are some steps you can take and considerations for treatment:
1. Keep the Area Clean: Gently wash the affected area with mild soap and water. Avoid scrubbing, as this can irritate the skin further.

2. Avoid Irritation: Refrain from shaving or wearing tight clothing that may rub against the area until the symptoms resolve.
3. Warm Compresses: Applying a warm compress to the area can help alleviate discomfort and promote drainage if there is an abscess or collection of pus.

4. Topical Treatments: Over-the-counter topical antibiotics (like Neosporin) can be applied to prevent infection. If the condition is due to a bacterial infection, a healthcare provider may prescribe topical or oral antibiotics.

5. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.

6. Avoid Squeezing: Do not attempt to squeeze or pop any pustules, as this can worsen the infection and lead to scarring.

7. Monitor Symptoms: Keep an eye on the symptoms. If the redness, swelling, or pain worsens, or if you develop fever or chills, seek medical attention promptly.

8. Consider Other Causes: If the symptoms do not improve with basic care, or if you suspect it could be an STI (especially if there are other symptoms like unusual discharge), it is essential to consult a healthcare provider for further evaluation and testing.

In conclusion, while your symptoms may suggest folliculitis, the presence of pus and blood, along with the expanding area of redness, indicates that you should seek medical evaluation. A healthcare professional can provide a definitive diagnosis and appropriate treatment, which may include antibiotics or other interventions based on the underlying cause. Early intervention can help prevent complications and promote faster healing.

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