Growths in the Perineal Area: What You Need to Know - Family Medicine

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There are two growths in the perineal area?


I would like to ask, I recently noticed something growing in the perineal area between the anus and the vagina.
It doesn't hurt and feels soft, but I can sense its presence.
There are two connected together, and they are somewhat large.
What could this be? I have no sexual experience, so it shouldn't be a sexually transmitted infection, right? I want to get it removed quickly; which department should I consult?

Youzi, 20~29 year old female. Ask Date: 2015/11/12

Dr. Chen Bozhang reply Family Medicine


Dear Miss Pomelo,
In your letter, you mentioned that you have developed two soft, painless lesions in the perineal area.
I recommend that you visit a gynecologist for a professional examination of these lesions to determine the appropriate next steps for management.
Additionally, since you have no sexual experience, there is no need to worry about sexually transmitted infections; just ensure you have the correct protective knowledge.
Please try not to be overly concerned.
I hope this information is helpful to you.
Dr.
Chen Po-Chang
Department of Family Medicine
Keelung Hospital, Ministry of Health and Welfare

Reply Date: 2015/11/12

More Info


When it comes to growths in the perineal area, it's important to approach the situation with caution and seek medical advice. The perineum, which is the area between the anus and the vagina, can develop various types of growths or lumps, and understanding what these might be is crucial for your health.

Based on your description of the growths being soft, non-painful, and connected, there are several possibilities. Common benign conditions that could present in this area include:
1. Sebaceous Cysts: These are small lumps that can occur when sebaceous glands become blocked. They are usually painless and can vary in size.

2. Bartholin's Cysts: These can develop when the Bartholin's glands, located near the vaginal opening, become blocked. They can lead to swelling and may feel like a lump.

3. Skin Tags: These are small, soft growths that can appear in various areas of the body, including the perineum. They are generally harmless and painless.

4. Hemorrhoids: Although typically associated with the anal area, hemorrhoids can sometimes be felt in the perineal region. They can be painful or painless depending on their type.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as soft, fleshy growths. However, since you mentioned having no sexual experience, the likelihood of this being the cause is lower, but it’s still worth considering.

6. Other Conditions: There are other possibilities, including infections, abscesses, or even benign tumors.
Given your concern about the growths and the desire to have them evaluated, it is advisable to consult a healthcare professional. You should consider making an appointment with a gynecologist or a dermatologist. These specialists are well-equipped to examine the area, provide a proper diagnosis, and discuss treatment options if necessary.

When you visit the doctor, be prepared to provide them with as much information as possible, including:
- The size and appearance of the growths.

- How long you have noticed them.

- Any changes in size or symptoms (e.g., pain, itching).

- Your medical history and any other relevant health information.

It’s understandable to feel anxious about new growths, especially in sensitive areas. However, most growths in the perineal region are benign and can be easily managed. Early evaluation can help alleviate concerns and ensure that if treatment is needed, it can be initiated promptly.

In summary, while the growths you are experiencing may not be indicative of a serious condition, it is essential to seek medical advice to rule out any potential issues. A gynecologist or dermatologist will be able to provide you with the best care and guidance moving forward.

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