Non-Painful Vulvar Bumps: When to Seek Medical Advice

Vulvar issues

Hello, doctor: Recently, my menstrual period just ended about a week ago.
In the past couple of days, while taking a shower, I suddenly touched a small hard lump near my labia close to my buttocks, which is about 0.5 centimeters in size and does not hurt at all.
(It's not located on the inner thigh.) There is no sensation associated with it, and I am unsure if it is related to my daily routine.
This small lump is not visible; I can only feel it by touch.
However, I noticed that there seems to be a hair that is not growing out from the lump.
I am wondering if it could be folliculitis, but it does not hurt.
I usually sit on a chair for more than ten hours a day.
I know some people develop similar lumps, but I have read some consultations where they mentioned their lumps were painful, while mine is not.
So, I am a bit anxious...
If it does not go away in a few days, should I see a doctor? Thank you.

Xiao You, 20~29 year old female. Ask Date: 2006/05/01

Dr. Lin Zhaopei reply Obstetrics and Gynecology

It could be folliculitis or scabies.
If it does not resolve in a few days, you should seek treatment at an outpatient clinic.

Reply Date: 2006/05/01

More Info

When it comes to non-painful vulvar bumps, it’s understandable to feel concerned, especially when you notice something unusual in your body. Based on your description, it sounds like you may have encountered a benign condition, but it’s important to approach this with caution and awareness.

Firstly, the bump you described, located near the vulva and measuring about 0.5 cm, could potentially be a few different things. Common possibilities include:
1. Sebaceous Cyst: These are non-cancerous lumps that can form when a sebaceous gland becomes blocked. They are usually painless and can feel firm to the touch.

2. Folliculitis: This is an inflammation of the hair follicles, which can occur if hair follicles become blocked or infected. While this condition can be painful, it can also present as a painless bump.

3. Bartholin's Gland Cyst: The Bartholin glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst. These cysts can be painless unless they become infected.

4. Ingrown Hair: If you noticed a hair that seems to be trapped under the skin, it could be an ingrown hair, which can sometimes cause a bump but may not always be painful.

Given that you mentioned the bump is not painful and does not cause any discomfort, it may not be an immediate cause for alarm. However, there are several factors to consider when deciding whether to seek medical advice:
- Duration: If the bump does not resolve within a week or two, it would be wise to consult a healthcare provider. Persistent bumps should be evaluated to rule out any underlying issues.

- Changes in Size or Symptoms: If the bump begins to grow, change in appearance, or if you start to experience pain, itching, or any unusual discharge, these would be indications to seek medical attention sooner.

- Personal Health History: If you have a history of skin conditions, sexually transmitted infections, or other relevant health issues, it’s advisable to discuss these with your healthcare provider.

- Hygiene and Lifestyle Factors: Given that you mentioned sitting for long periods, this could contribute to skin irritation or folliculitis. Maintaining good hygiene and wearing breathable clothing can help prevent further irritation.

In terms of when to seek medical advice, if the bump persists beyond a couple of weeks, or if you have any concerns about changes in your body, it’s always better to err on the side of caution. A healthcare provider can perform a physical examination and may recommend further tests if necessary. They can also provide reassurance and guidance on how to manage any symptoms you may be experiencing.

In summary, while a non-painful bump can often be benign, monitoring its behavior and being aware of any changes is crucial. If you have any doubts or if the bump does not resolve, do not hesitate to reach out to a healthcare professional for an evaluation. Your health and peace of mind are important, and seeking advice is a proactive step in managing your well-being.

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