Small Bumps on the Labia: When to Seek Medical Advice - Obstetrics and Gynecology

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A tiny little one?


Hello doctor, I have a small, hard bump next to my labia that feels like a grain of rice, and sometimes my genital area itches.
Could you please tell me what might be the cause? My period started on September 21 and is currently very heavy.
Do I need to see a doctor? Thank you.

huanzhe, 40~49 year old female. Ask Date: 2014/09/25

Dr. Lin Wenbin reply Obstetrics and Gynecology


A diagnosis can only be made through an outpatient examination.

Reply Date: 2014/09/25

More Info


When it comes to small bumps on the labia, especially if they are hard and resemble grains of rice, there are several potential causes to consider. These bumps could be benign, such as sebaceous cysts, which are common and usually harmless. They occur when sebaceous glands become blocked and can sometimes become inflamed or infected, leading to discomfort or itching. Another possibility is the presence of folliculitis, which is an inflammation of the hair follicles that can occur in the genital area. This condition can also cause small bumps and may be accompanied by itching.

However, it is essential to consider other possibilities as well. For instance, sexually transmitted infections (STIs) such as genital warts (caused by the human papillomavirus) or herpes can present with similar symptoms. Additionally, conditions like Bartholin's cysts, which occur when the glands that lubricate the vagina become blocked, can also lead to the formation of bumps in the genital area.

Given that you mentioned experiencing itching in the area, this could indicate an inflammatory process or infection, which may require medical evaluation. The timing of your menstrual cycle, with heavy bleeding starting on September 21, may also play a role in your symptoms, as hormonal changes can affect the skin and mucous membranes, potentially leading to irritation or other changes.

It is advisable to seek medical advice, especially if the bump persists, changes in appearance, or if you experience increased itching, pain, or any unusual discharge. A healthcare provider can perform a physical examination and may recommend tests, such as swabs or biopsies, to determine the exact nature of the bump and rule out any serious conditions.

In summary, while small bumps on the labia can be benign, the presence of itching and changes in your menstrual cycle warrants a consultation with a healthcare professional. They can provide a thorough evaluation and appropriate management based on your specific symptoms and medical history. Remember, it is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas.

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