Overcoming Health Anxiety: Trusting Your Doctor's Diagnosis - Obstetrics and Gynecology

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After the doctor's diagnosis, there is still a persistent doubt about whether one is actually ill?


Hello, Doctor: About a week and a half ago, I noticed a small bump on my labia that is neither painful nor itchy, which has left me in a state of panic.
Last Thursday, I asked my mom to take me to see a doctor.
The doctor asked if I had engaged in sexual activity, and I was too afraid to answer honestly, so I said no.
The doctor told me it was folliculitis and that it would improve with medication.
However, I am still very anxious.
On Saturday, I went to see another doctor and honestly disclosed everything.
This doctor also said it was likely folliculitis and noted some mild inflammation, advising me to finish the medication prescribed earlier.
Now that I have completed the medication, the small bump, about one centimeter in size, has not disappeared, and I am starting to panic again, fearing that I might have some illness.
I would like to ask, if both doctors have diagnosed it as folliculitis, does that mean it is not another sexually transmitted infection? I have only one partner, and after the bump did not go away for a week, I have been overthinking and researching a lot online, even questioning whether I have a sexually transmitted infection like genital warts.
I have become so anxious that I wonder if I contracted something from using items at a vacation rental.
Doctor, what should I do? I feel like my overthinking is leading me to believe it's the end of the world.

Jiao Lü Ren, 20~29 year old female. Ask Date: 2011/11/15

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the perineal area is prone to folliculitis, which may take some time to resolve in some individuals.
Its appearance is different from that of lesions associated with sexually transmitted infections, and a general physician can distinguish between them.
I suggest you not worry too much for now; with appropriate treatment and follow-up, your issues and concerns should be resolved.
Thank you! Dr.
Chang

Reply Date: 2011/11/15

More Info


It's understandable to feel anxious after discovering a new symptom, especially when it comes to sensitive areas of the body. Health anxiety, or hypochondria, can lead to a cycle of worry and compulsive checking that often exacerbates the situation rather than alleviating it. In your case, the diagnosis of folliculitis (皮囊炎) from two different doctors should provide some reassurance, but I recognize that the lingering bump and your fears about potential sexually transmitted infections (STIs) can be overwhelming.

First, it's important to acknowledge that your feelings of anxiety are valid. Many people experience similar fears, especially when it comes to their health. The mind can easily spiral into worst-case scenarios, particularly when we are not feeling well or when we notice something unusual about our bodies. This is a common human response, but it can become problematic when it leads to excessive worry and compulsive behaviors, such as repeatedly checking symptoms or seeking multiple opinions.

The fact that both doctors have diagnosed the bump as folliculitis suggests that it is likely not a serious condition. Folliculitis is an inflammation of the hair follicles, often caused by infection, irritation, or blockage. It can take time to resolve, and the duration can vary from person to person. If the bump does not improve or worsens, it would be reasonable to follow up with your healthcare provider for further evaluation. However, it’s crucial to trust the medical professionals who have examined you and provided their expertise.

Here are some strategies to help manage your health anxiety:
1. Limit Research: While it’s natural to seek information, excessive online research can fuel anxiety. Try to limit your time spent searching for symptoms or conditions related to your concerns. Instead, focus on reliable sources or consult your healthcare provider if you have questions.

2. Practice Mindfulness: Mindfulness techniques, such as deep breathing, meditation, or yoga, can help ground you in the present moment and reduce anxiety. These practices can help you become more aware of your thoughts and feelings without becoming overwhelmed by them.

3. Cognitive Behavioral Therapy (CBT): Consider seeking therapy, particularly CBT, which is effective for managing anxiety. A therapist can help you identify and challenge irrational thoughts, develop coping strategies, and reduce compulsive behaviors.

4. Focus on What You Can Control: While you cannot control your health entirely, you can take proactive steps to care for yourself. This includes maintaining a healthy lifestyle, managing stress, and following your doctor's recommendations.

5. Communicate Openly: If you have concerns about your diagnosis or treatment, don’t hesitate to communicate with your healthcare provider. They can provide clarity and reassurance, which may help alleviate your fears.

6. Build a Support System: Talk to trusted friends or family members about your feelings. Sharing your concerns can help you feel less isolated and provide emotional support.

7. Set Boundaries for Checking: If you find yourself checking the bump frequently, set specific times to do so, and try to stick to those limits. This can help reduce the compulsion to check constantly.

8. Reassess Your Thoughts: When you find yourself spiraling into negative thoughts, try to challenge those thoughts. Ask yourself what evidence supports your fears and what evidence contradicts them. This can help you gain perspective.

Remember, it’s normal to feel anxious about health issues, but it’s essential to find a balance that allows you to live your life without being consumed by worry. If your anxiety continues to interfere with your daily life, seeking professional help is a positive step toward managing your concerns effectively.

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