Lipomas in the Pubic Area: Symptoms, Treatment, and Concerns

Suspected lipoma in the pubic area of the lower abdomen?

Hello Doctor: I have a noticeable protrusion in the pubic area of my lower abdomen that appears to be a lipoma (2 cm x 1 cm).
It is generally not painful, feels elastic when pressed, and has a fluctuating sensation.
Although it is located in a very private area, it has caused a foreign body sensation and skin elevation, which has bothered me for several years.
However, due to its discreet location, I have neglected it for decades.
Recently, it has become quite bothersome, as my girlfriends often ask questions during intimate moments, thinking I might have some illness or abnormality.
I live in Taoyuan City; which department should I consult for this issue and potential surgery? Should I see a dermatologist or a surgeon? If surgery is performed, will it be covered by health insurance? How quickly does the wound heal? Also, will I need to shave all my pubic hair? Thank you for your assistance!

Gavin Swallow Yen, 20~29 year old female. Ask Date: 2010/12/13

Dr. Lin Zhiguang reply Surgery

Hello, based on your description, it is likely a lipoma.
It is mostly benign and does not require surgery unless it grows rapidly or becomes painful, in which case other conditions should be considered.
If surgery is necessary, you can consult a general surgeon or a plastic surgeon.
It is covered by health insurance, and healing takes about one to two weeks, during which the wound should not come into contact with water.
Only about 1-2 centimeters of hair around the area needs to be shaved.
A 2-centimeter lipoma can be removed under local anesthesia, and the procedure takes about half an hour.
I hope this helps clarify your concerns.

Reply Date: 2010/12/13

More Info

Lipomas are benign tumors composed of adipose (fat) tissue, and they can occur in various parts of the body, including the pubic area. They are generally soft, movable, and painless, which aligns with your description of the lump you have noticed. Here’s a comprehensive overview of lipomas, their symptoms, treatment options, and considerations regarding your specific concerns.

Symptoms of Lipomas
1. Softness and Mobility: Lipomas are typically soft to the touch and can be moved slightly under the skin. This characteristic is a key differentiator from other types of lumps, such as cysts or tumors, which may be firmer or fixed in place.

2. Size and Growth: They can vary in size, often ranging from a few millimeters to several centimeters. In your case, the size of 2 cm x 1 cm is quite typical for a lipoma.

3. Painlessness: Most lipomas do not cause pain unless they press on nearby nerves or structures. The absence of pain in your case is consistent with the benign nature of lipomas.

4. Location: While lipomas can occur anywhere on the body, their presence in the pubic area can lead to discomfort or anxiety, especially in intimate situations.

Treatment Options
1. Observation: If the lipoma is not causing any discomfort or functional issues, many healthcare providers may recommend simply monitoring it over time. Since you have had it for several years without significant changes, this may be a reasonable approach.

2. Surgical Removal: If the lipoma is bothersome, causing discomfort, or for cosmetic reasons, surgical removal is the most common treatment. This procedure is typically straightforward and can be performed under local anesthesia. The surgeon will make an incision, remove the lipoma, and then close the incision with sutures.

3. Insurance Coverage: In Taiwan, surgical procedures for lipomas may be covered by health insurance if deemed medically necessary. It’s advisable to consult with your healthcare provider to determine if your specific case qualifies for coverage.

4. Recovery: Recovery from lipoma removal is generally quick. Most patients can return to normal activities within a few days, although complete healing of the incision may take a couple of weeks.
5. Hair Removal: Depending on the location and size of the lipoma, your surgeon may recommend shaving the area to ensure a clear view during the procedure. However, this is typically done in a way that minimizes discomfort and respects your privacy.

When to Seek Medical Advice
Given your concerns about the appearance and the questions raised by your partners, it would be beneficial to consult a healthcare professional. You can start by visiting a dermatologist or a general surgeon. A dermatologist specializes in skin conditions and can assess the lump, while a general surgeon can provide options for removal if necessary.

Conclusion
In summary, lipomas are benign and generally harmless growths that can be managed effectively. If the lipoma is causing you distress, whether physically or emotionally, surgical removal is a viable option. Consulting with a healthcare provider will help you determine the best course of action tailored to your needs. Don’t hesitate to seek help; addressing your concerns can lead to peace of mind and improved quality of life.

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