Growths Near the Genital Area: What You Need to Know

Q: Growths Near the Genital Area: What You Need to Know

Hello： It may be genital warts (commonly known as cauliflower), please seek medical attention promptly. <br>Hsinchu Hospital, Department of Obstetrics and Gynecology.

There are small growths near the genital area that resemble granulation tissue?

Hello, doctor.
Recently, over the past month or two, I have noticed a small growth near my genital area that resembles a granuloma, located between the vaginal opening and the anus, which I believe is called the perineum.
Every time I use the restroom and wipe, I end up touching it.
Initially, I ignored it, but later I noticed it seems to be getting larger.
Upon looking in the mirror, it appears to have changed from one growth to two, forming an "M" shape.
If I wipe too hard, it can be painful.
At first, I thought it was due to poor hygiene, and when I noticed it looked like a pimple, I tried to squeeze it, but I may have been too forceful and ended up pulling it off, causing some bleeding, like a wound.
So I realized it is a firm granuloma, not a pimple, and there is no pus involved.
I initially thought that if I removed this small granuloma, it wouldn't grow back, and everything would be fine.
However, in the past two weeks, I have noticed a similar situation occurring even closer to my labia, and the original growth has also gradually increased in size, making it difficult to avoid touching it after using the restroom.
After several instances of friction, it has become quite painful, and I am unsure what to do.
I feel embarrassed to see a gynecologist.
Could you please give me some advice? I am really worried it might be a tumor (in the past, I had a black mole on my palm, and a dermatologist suggested it could potentially develop into melanoma, so I underwent a minor surgical excision at the hospital.
I am concerned that I might have a tendency to develop tumors).
Q_Q

wish, 20~29 year old female. Ask Date: 2005/10/24

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: It may be genital warts (commonly known as cauliflower), please seek medical attention promptly.
Hsinchu Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/10/24

More Info

When it comes to growths in the genital area, particularly those resembling granulation tissue, it is essential to approach the situation with caution and seek medical advice. Based on your description, it sounds like you have developed a couple of firm growths in the perineal area, which is indeed the region between the vaginal opening and the anus. The fact that these growths have increased in size and are causing discomfort is a significant reason to consult a healthcare professional.

Granulation tissue typically forms as part of the healing process, but when it appears in unusual locations or grows larger, it can indicate an underlying issue that needs to be addressed. The growths you describe could be a variety of things, including but not limited to:
1. Skin Tags: These are benign growths that can appear in various areas of the body, including the genital region. They are usually harmless but can become irritated or painful if they rub against clothing or are frequently touched.

2. Warts: Genital warts are caused by the human papillomavirus (HPV) and can appear as small, fleshy bumps. They can be painful and may require treatment if they become bothersome.

3. Cysts: Sebaceous cysts can develop in the genital area and may feel firm. They are generally benign but can become inflamed or infected.

4. Other Benign Growths: Conditions like molluscum contagiosum, which is a viral infection that causes small, painless bumps, could also be a possibility.

5. Malignant Growths: While less common, any new growth that changes in size, shape, or color should be evaluated to rule out skin cancer or other malignancies.

Given your history of skin issues and concerns about potential malignancies, it is crucial to have these growths evaluated by a healthcare professional, preferably a gynecologist or dermatologist. They can perform a physical examination and may recommend a biopsy if there is any suspicion of malignancy.
It is understandable to feel anxious about the possibility of tumors, especially given your previous experience with a suspicious mole. However, many growths in the genital area are benign and can be treated effectively. It is essential not to attempt to remove or manipulate these growths on your own, as this can lead to infection or further complications.

In the meantime, here are a few recommendations:
- Avoid Irritation: Try to minimize friction in the area by wearing loose-fitting clothing and avoiding tight underwear.

- Maintain Hygiene: Keep the area clean and dry, but avoid harsh soaps or scrubs that could irritate the skin.

- Monitor Changes: Keep an eye on the growths for any changes in size, color, or symptoms such as bleeding or pain.

Ultimately, the best course of action is to schedule an appointment with a healthcare provider who can assess your situation and provide appropriate treatment options. Early evaluation and intervention can help alleviate your concerns and ensure that any necessary treatment is initiated promptly.

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