Soft Bumps in the Genital Area: Causes and Solutions - Obstetrics and Gynecology

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Doctor, I noticed something growing in my genital area towards the end of my menstrual cycle.
I can't see it because it's too low, but when I touch it, it feels like a pimple, although it's not hard; it's soft and painful to the touch.
What could this be? What should I do?

Lan, 10~19 year old female. Ask Date: 2007/05/20

Dr. Zhou Dali reply Obstetrics and Gynecology


Please come to the clinic for an examination.

Reply Date: 2007/05/20

More Info


When it comes to soft bumps in the genital area, there are several potential causes that could explain your symptoms. The fact that the bump is soft and painful to the touch suggests it may be a cyst, an ingrown hair, or a type of infection, such as a folliculitis or a genital wart.
1. Sebaceous Cyst: These are common and usually harmless. They occur when a hair follicle becomes blocked, leading to a buildup of sebum (the oily substance produced by sebaceous glands). They can feel soft and may be painful if they become inflamed or infected.

2. Folliculitis: This is an infection of the hair follicles, often caused by bacteria or fungi. It can present as small, red bumps that may be tender or painful. This condition can arise from friction, shaving, or wearing tight clothing.

3. Ingrown Hair: If you've recently shaved or waxed the area, an ingrown hair can occur when a hair curls back into the skin, causing a painful bump.

4. Genital Warts: These are caused by certain strains of the human papillomavirus (HPV). They can appear as soft, fleshy bumps and may be painful or itchy.

5. Other Conditions: There are other possibilities, such as molluscum contagiosum (a viral infection that causes small, painless bumps) or even a more serious condition like a sexually transmitted infection (STI).
Given your description, it is essential to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and, if necessary, additional tests such as a biopsy or swab to determine the exact nature of the bump.

What You Should Do:
1. Avoid Picking or Squeezing: This can lead to further irritation or infection.


2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid harsh soaps or products that could irritate the skin.

3. Warm Compress: Applying a warm compress can help reduce pain and inflammation if the bump is a cyst or folliculitis.

4. Over-the-Counter Pain Relief: If the pain is bothersome, consider taking over-the-counter pain relievers like ibuprofen or acetaminophen.

5. Avoid Irritants: If you suspect the bump may be due to shaving or tight clothing, consider changing your grooming habits or wearing looser clothing.

6. Seek Medical Attention: If the bump does not improve, continues to grow, becomes more painful, or if you notice other symptoms (such as fever or discharge), it is crucial to see a healthcare provider. They can provide appropriate treatment, which may include drainage of a cyst, antibiotics for an infection, or other interventions as necessary.


Conclusion:
While soft bumps in the genital area can often be benign, it is always best to err on the side of caution and seek medical advice. Early diagnosis and treatment can prevent complications and provide peace of mind. Remember, your health is paramount, and addressing any concerns with a healthcare professional is the best course of action.

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