Growths on the Vulva: When to Seek Medical Advice - Obstetrics and Gynecology

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When it comes to growths or changes in the vulvar area, it is crucial to approach the situation with caution and awareness. The symptoms you describe—pain upon washing, itching, and the presence of a growth—warrant a medical evaluation. While it is possible that the growth could be something benign, such as a cyst or a blocked gland, it could also indicate an infection or another condition that requires treatment.


When to Seek Medical Advice
1. Persistent Symptoms: If the growth persists for more than a few days or worsens, it is essential to consult a healthcare provider. Persistent symptoms can indicate an underlying issue that needs to be addressed.

2. Pain and Discomfort: Since you mentioned experiencing pain when washing the area, this is a significant sign that you should seek medical advice. Pain is often a signal that something is not right, and it should not be ignored.

3. Changes in Discharge: The presence of unusual discharge, especially if it changes in color, consistency, or odor, can be a sign of infection. Yellowish discharge, particularly if accompanied by itching, could indicate a bacterial or yeast infection.

4. Itching and Irritation: Itching can be caused by a variety of factors, including infections, allergies, or irritants. If the itching is severe or persistent, it is advisable to see a healthcare professional.

5. Growth Characteristics: If the growth changes in size, shape, or color, or if you notice additional growths, these are important changes to report to your doctor.


Possible Conditions
- Bartholin's Cyst: This is a common condition where a gland near the vaginal opening becomes blocked, leading to a cyst that can be painful.

- Warts: Genital warts, caused by the human papillomavirus (HPV), can appear as growths and may be itchy or painful.

- Folliculitis: This is an infection of the hair follicles that can cause red bumps or pustules and may be itchy or painful.

- Yeast Infection: This can cause itching and discomfort, often accompanied by a thick, white discharge.

- Bacterial Vaginosis: This condition can lead to a fishy odor and changes in discharge, often accompanied by itching.


Medical Evaluation
During a medical evaluation, a healthcare provider will likely perform a physical examination and may ask about your medical history, sexual history, and any other symptoms you may be experiencing. Depending on the findings, they may recommend:
- Testing: This could include swabs to check for infections or sexually transmitted diseases (STDs).

- Imaging: In some cases, imaging studies may be necessary to assess the growth.

- Treatment: Depending on the diagnosis, treatment options may include topical medications, antibiotics, or other interventions.


Conclusion
In summary, given your symptoms of pain, itching, and the presence of a growth, it is advisable to seek medical attention promptly. Early evaluation can lead to a proper diagnosis and treatment, alleviating discomfort and preventing potential complications. Remember, it is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. Your health and well-being are paramount, and a healthcare provider can offer the best guidance tailored to your specific situation.