Painful Bumps Between Thighs and Genitals: When to Seek Help - Dermatology

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There is a protruding mass located between the inner thigh and the genital area?


Hello, a few days ago I noticed a small raised round bump that wasn't painful, so I didn't pay much attention to it.
Recently, it has suddenly grown larger and is now painful.
Should I see a dermatologist or a gynecologist?

vivi, 20~29 year old female. Ask Date: 2008/12/01

Dr. Jiang Yujiao reply Dermatology


As long as it is something that can be felt on the skin, a dermatologist should be able to diagnose it.
There should be no issues for a dermatologist.

Reply Date: 2008/12/01

More Info


When it comes to painful bumps between the thighs and genitals, it is essential to approach the situation with caution and awareness of potential underlying conditions. The sudden change in size and the onset of pain are significant indicators that warrant medical attention.
The first step is to understand what these bumps could be. There are several possibilities, including but not limited to:
1. Folliculitis: This is an infection or inflammation of the hair follicles, which can lead to small, painful bumps. It is often caused by bacteria or fungi and can be exacerbated by shaving or wearing tight clothing.

2. Cysts: Sebaceous cysts can form in this area and may become inflamed or infected, leading to pain and swelling. These are generally harmless but can become uncomfortable.

3. Abscess: An abscess is a collection of pus that can occur due to infection. It may start as a small bump but can grow larger and become painful, requiring drainage and antibiotics.

4. Lymphadenopathy: Swollen lymph nodes in the groin area can also present as painful bumps. This could be a response to infection or other systemic issues.

5. Sexually Transmitted Infections (STIs): Certain STIs can cause bumps or lesions in the genital area. If there is any possibility of exposure to STIs, it is crucial to seek medical advice promptly.

Given the symptoms you are experiencing—specifically the increase in size and the onset of pain—it is advisable to seek medical attention. The type of specialist you should see can depend on various factors:
- Dermatologist: If the bump appears to be primarily a skin issue, such as a cyst or folliculitis, a dermatologist would be the appropriate specialist. They can evaluate the bump, determine its nature, and provide treatment options.

- Gynecologist: If you suspect that the bump could be related to a gynecological issue, such as a Bartholin's gland cyst or other reproductive health concerns, then a gynecologist would be the right choice. They can perform a thorough examination and address any concerns related to reproductive health.

- Primary Care Physician: If you are unsure about the nature of the bump or which specialist to see, starting with your primary care physician is a good option. They can assess your symptoms and refer you to the appropriate specialist based on their findings.

In any case, it is essential not to ignore the changes in your condition. Pain, especially when associated with a new or changing bump, should always be evaluated by a healthcare professional. Early diagnosis and treatment can prevent complications and provide peace of mind.

In summary, you should seek medical attention promptly, considering either a dermatologist or a gynecologist based on your symptoms. It is crucial to have a professional evaluation to determine the cause of the bump and to receive appropriate treatment. Remember, your health and well-being are paramount, and addressing these concerns early can lead to better outcomes.

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