Painful Bumps Near the Genital Area: Causes and Treatments

Unidentified growths near the genital area?

I have developed a long, raised, somewhat soft lesion near my anus, which can be painful.
It used to bleed, but it doesn't anymore.
However, if I wipe too hard during a bowel movement, it will bleed.
I previously visited a gynecologist who said it was just folliculitis due to prolonged use of pads, and that the skin in that area is more delicate.
Since then, I have been changing my sanitary pads regularly, but the condition hasn't improved.
Every time the doctor applies medication, the pain returns shortly after, and the raised lesion is still present.
It has been nearly a year without improvement.
I would like to ask the doctor what this condition might be and how it can be treated.

Y, 10~19 year old female. Ask Date: 2015/07/26

Dr. Lin Wenbin reply Obstetrics and Gynecology

A visit to the outpatient clinic is necessary for a definitive diagnosis.

Reply Date: 2015/07/26

More Info

Understanding painful bumps near the genital area can be quite distressing, especially when they persist over time and cause discomfort. Based on your description, it sounds like you may be dealing with a condition that could involve several potential causes, including folliculitis, cysts, or even a form of dermatitis.
Folliculitis, as your doctor mentioned, is an inflammation of the hair follicles that can occur due to various reasons, including irritation from hygiene products, prolonged use of pads, or even friction. It often presents as small, red bumps that can be painful and may bleed if irritated. If the bumps are soft and movable, they could also be sebaceous cysts, which are benign lumps that can form under the skin when sebaceous glands become blocked. These cysts can become inflamed or infected, leading to pain and discomfort.

Given that you have been experiencing this issue for nearly a year without significant improvement, it is crucial to consider a few factors:
1. Hygiene and Skin Care: While you mentioned that you have been changing your pads regularly, it is essential to ensure that the area is kept clean and dry. Using gentle, unscented products can help minimize irritation. Avoiding tight clothing that may cause friction can also be beneficial.

2. Medical Evaluation: Since the condition has persisted for such a long time, it may be worth seeking a second opinion from a dermatologist or a specialist in skin conditions. They can perform a thorough examination and may recommend a biopsy if necessary to rule out other conditions, such as skin infections or even more serious issues.

3. Treatment Options: Depending on the diagnosis, treatment can vary. If it is indeed folliculitis, topical antibiotics or antiseptic creams may be prescribed. For cysts, if they are causing significant discomfort, a healthcare provider may suggest draining them or removing them surgically. If there is an underlying skin condition, such as dermatitis, corticosteroid creams or other topical treatments may be recommended.

4. Lifestyle Modifications: In addition to medical treatments, consider lifestyle changes that can help improve your condition. This includes wearing breathable cotton underwear, avoiding prolonged use of pads, and ensuring that any products used in the genital area are hypoallergenic.

5. Monitoring Symptoms: Keep track of any changes in the bumps, including size, color, or any new symptoms that may arise. This information can be valuable for your healthcare provider in determining the best course of action.

In conclusion, while your initial assessment by a gynecologist suggested folliculitis, the persistence of your symptoms warrants further investigation. A dermatologist may provide additional insights and treatment options tailored to your specific situation. Remember, it’s essential to advocate for your health and seek further evaluation if you feel your concerns are not being adequately addressed.

Similar Q&A

Understanding Painful Bumps in the Genital Area: Causes and Treatments

I have developed a bump in the genital area that initially felt like a small pimple and was painless, but it has since grown larger and started to hurt. It causes pain when sitting or walking. I applied some topical ointment, but it seems to have worsened. Currently, I can't...

Dr. Lü Lizheng reply Obstetrics and Gynecology
The response may indicate folliculitis. You can try purchasing topical acne treatments that contain antibacterial antibiotic ingredients. Other possibilities include herpes and sexually transmitted infections, which must be diagnosed and treated by a gynecologist. Sincerely, Dr. ...

Understanding Painful Bumps Near the Genital Area: Causes and Solutions

Hello doctor, yesterday while taking a shower, I noticed a bump that looks like a pimple located between my genital area and anus. It feels a bit painful and is situated closer to the genital area, on the left side of my buttocks. I had a similar bump in the past, but I didn'...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your symptom description, it is more likely to be folliculitis. I recommend maintaining cleanliness and dryness in the perineal area, avoiding tight clothing, using fewer panty liners, ensuring adequate sleep, and following a light diet. Additionally, try to avoid...

Understanding Painful Bumps in the Genital Area: Causes and Concerns

Hello doctor, I have a bump near my genital area, close to where I urinate, that looks like a mosquito bite. It hurts when I touch or press on it, and it also hurts if I accidentally bump it or wear tight clothing. I'm very anxious about this. Does it need surgery? What coul...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I apologize for not being able to provide a diagnosis based on what you've described. It could be inflammation. If you continue to experience discomfort, I recommend seeing a gynecologist. Wishing you good health.

Understanding Painful Bumps on the Genitals: Causes and When to Seek Help

I recently went out and had no issues for the first few days, but on the first day of my outing, I felt some pain in my genital area. While showering, I noticed a pus-filled bump (which I believe is on the shaft of the penis, not the glans). I'm unsure if it could be an infe...

Dr. Liu Jianting reply Urology
Yes! It's acne, which is an inflammation of the hair follicles. Keeping the area clean and avoiding squeezing with your hands will help it heal naturally. If there is redness, swelling, or pus, please consult a urologist for examination and antibiotic treatment. As for "...