Bumps on the Labia: Causes and Concerns - Obstetrics and Gynecology

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Are there pimples in the genital area?


Hello Doctor, about three weeks ago, I developed a bump on my labia.
It changed to a more mature color, so I squeezed it...
but it wasn't completely emptied.
It has now shrunk significantly (though there is still a small bump), and it feels firmer and more superficial.
What could this be? Is it possible that it is a wart? Additionally, at the junction of my labia and the surrounding tissue, I have had small visible spots for quite some time (they haven't been raised, just resembling the size of goosebumps), arranged in a regular circular pattern.
Recently, due to the bump, I have been touching it frequently, and it seems to have become slightly more raised (the raised area is a lighter flesh color and circular).
Could this be a bacterial infection, or is there another issue? Occasionally, there is a bit of itching, but it has improved over the past few days.
Thank you!

Da Gui Tou, 10~19 year old female. Ask Date: 2006/07/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello! Based on your description, it seems like you might have acne.
However, it would be best to consult a gynecologist for a thorough examination.
A visual assessment is often more accurate than a verbal description.
Wishing you good health.

Reply Date: 2006/07/30

More Info


When it comes to bumps or lesions on the labia, there are several potential causes, and understanding these can help alleviate concerns. Based on your description, it seems you have experienced a few different changes in the skin of your labia, including a pimple-like bump that you attempted to squeeze, and some small, persistent spots that resemble "chicken skin."
Firstly, the bump you initially described could be a number of things. Commonly, bumps on the labia can be caused by:
1. Folliculitis: This is an inflammation of the hair follicles, often resulting in small red bumps or pustules. It can occur after shaving or waxing and may resolve on its own or with topical treatments.

2. Sebaceous Cysts: These are small, benign lumps that can occur when sebaceous glands become blocked. They are usually painless and can sometimes become inflamed or infected.

3. Genital Warts (Condylomata Acuminata): Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They can be flat or raised and may cluster together. If you are concerned about this possibility, especially given your history of sexual activity, it would be wise to consult a healthcare provider for evaluation.

4. Herpes Simplex Virus (HSV): This can cause painful blisters or sores in the genital area. If you experience recurrent outbreaks, it’s important to get tested and discuss management options with your doctor.

5. Contact Dermatitis: Irritation from soaps, lotions, or other products can lead to bumps and itching. If you’ve recently changed any products, this could be a factor.

Regarding the small, circular spots that have been present for a long time, these could be normal variations of skin texture, such as follicular keratosis, or they could represent a benign condition like pearly penile papules, which are harmless and common. However, if they have changed in appearance or have become more pronounced, it’s worth having them evaluated.

The occasional itching you mentioned could be due to several factors, including irritation, an allergic reaction, or even a mild yeast infection. If the itching persists or worsens, or if you notice any unusual discharge, it’s advisable to seek medical attention.

In terms of infection, bacterial infections can occur in the genital area, but they typically present with other symptoms such as increased redness, swelling, warmth, or discharge. If you suspect an infection, especially if you have a fever or worsening symptoms, you should consult a healthcare provider.

To summarize, while some bumps and changes in the genital area can be benign, it is essential to monitor them closely. If you have concerns about the possibility of sexually transmitted infections (STIs) or if the bumps do not improve, it is crucial to seek medical advice. A healthcare provider can perform a thorough examination, possibly including swabs or biopsies if necessary, to determine the exact cause and recommend appropriate treatment. Regular gynecological check-ups are also important for maintaining reproductive health and addressing any concerns that may arise.

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