Hard, Painful Growths on the Genitals: What You Need to Know

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Doctor, I have a growth on my genital area that I don't know what it is.
It feels a bit hard and has a yellowish surface.
It hurts when I press on it.
Please tell me what it could be.

A-Kun-Zai, 10~19 year old female. Ask Date: 2006/05/30

Dr. Liu Jianting reply Urology

It could be folliculitis.
I recommend that you visit a hospital to see a urologist for examination and treatment, as an infection can lead to serious complications.

Reply Date: 2006/05/30

More Info

When it comes to hard, painful growths on the genitals, it is essential to approach the situation with caution and seek professional medical advice. There are several potential causes for such growths, and understanding them can help you determine the best course of action.

One common cause of hard, painful growths in the genital area is the presence of cysts. Sebaceous cysts, for example, are non-cancerous lumps that can form when the sebaceous glands become blocked. They are usually filled with a thick, yellowish substance and can become painful if they become inflamed or infected. Another possibility is a genital wart, which is caused by the human papillomavirus (HPV). These warts can appear as small, hard bumps and may be painful or itchy.

Another condition to consider is a folliculitis, which is an inflammation of the hair follicles that can lead to painful bumps. Folliculitis can be caused by bacterial infections, irritation from shaving, or even fungal infections. In some cases, sexually transmitted infections (STIs) can also present with painful growths or lesions in the genital area. For example, herpes simplex virus can cause painful blisters, while syphilis can lead to sores.

It is crucial to avoid self-diagnosing or attempting to treat the growth on your own, as this could lead to complications or worsen the condition. Instead, I recommend scheduling an appointment with a healthcare provider, preferably a dermatologist or urologist, who can perform a thorough examination. They may conduct tests, such as a biopsy or cultures, to determine the exact nature of the growth and recommend appropriate treatment.

In the meantime, here are some general tips to manage discomfort:
1. Avoid Irritation: Refrain from wearing tight clothing or engaging in activities that may irritate the area. Loose-fitting underwear and breathable fabrics can help reduce discomfort.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water to wash the area gently, and avoid using harsh chemicals or fragrances that could cause irritation.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain and discomfort. However, consult with a healthcare professional before taking any medication.

4. Avoid Picking or Squeezing: It can be tempting to squeeze or pick at growths, but this can lead to infection or scarring. It's best to leave the area alone until you can see a doctor.

5. Monitor Symptoms: Keep track of any changes in the growth, such as changes in size, color, or pain level. This information can be helpful for your healthcare provider.

In conclusion, while hard, painful growths on the genitals can be concerning, many conditions are treatable with the right medical intervention. It is essential to seek professional help to ensure an accurate diagnosis and appropriate treatment plan. Remember, early intervention can often lead to better outcomes, so do not hesitate to reach out to a healthcare provider.

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