Skin Issues: When to See a Dermatologist for Painful Bumps

Skin issues

Last month, towards the end of my menstrual period, I developed a swollen, painful lump with a white head in the pubic hair area.
It looked like a pimple, but I didn't intentionally squeeze it.
After my period ended, it gradually reduced in size, but there has been a hard, oval-shaped lump beneath the skin that hasn't gone away.
This month, as my period is nearing its end, it has started to become red and swollen again, and after squeezing it, pus came out, but the oval-shaped lump is still there.
I would like to know if this is commonly referred to as a boil? Do I need to see a doctor? If so, should I consult a dermatologist or a gynecologist? Thank you for your response, doctor.

Xiang, 10~19 year old female. Ask Date: 2015/11/13

Dr. Wu Yuxin reply Dermatology

You should first see a dermatologist.

Reply Date: 2015/11/13

More Info

It sounds like you're experiencing a concerning skin issue that has persisted over time, particularly in the genital area. Based on your description, the painful bump you mentioned, which has a white head and seems to recur with your menstrual cycle, could potentially be a type of cyst or an inflamed hair follicle, commonly referred to as a folliculitis or possibly an abscess. The fact that it has a hard, oval shape and does not completely resolve after the inflammation subsides suggests that it may not be a simple pimple but rather something that requires further evaluation.

In terms of whether this is a "boil" (or "furuncle," which is a deeper infection of the hair follicle), it is possible, especially if it is painful, red, and filled with pus. Boils can occur due to bacterial infections, often caused by Staphylococcus aureus, and they can recur if the underlying issue is not addressed. The presence of a hard lump after the initial inflammation could indicate that there is still some infection or a blocked follicle that needs to be treated.

Regarding whether you should see a doctor, it is advisable to consult a healthcare professional, particularly a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination to determine the exact nature of the bump. They can also perform any necessary procedures, such as drainage if it is an abscess, and prescribe appropriate medications, such as antibiotics if an infection is present.

While a gynecologist (婦產科醫生) could also evaluate this issue, especially if you have concerns related to your menstrual cycle or any gynecological symptoms, a dermatologist would be more equipped to handle skin-specific issues. If the bump is indeed related to hair follicles or skin infections, a dermatologist would be the best choice.

In the meantime, here are some general recommendations:
1. Avoid squeezing or picking at the bump: This can lead to further irritation or infection.

2. Keep the area clean: Gently wash the area with mild soap and water.

3. Warm compress: Applying a warm compress can help reduce pain and promote drainage if there is an abscess.

4. Avoid tight clothing: This can help reduce friction and irritation in the area.

5. Monitor for changes: Keep an eye on the bump for any changes in size, color, or pain level.

If you notice any signs of systemic infection, such as fever, increased redness, or spreading of the infection, seek medical attention promptly.
In summary, while it may be tempting to wait and see if the bump resolves on its own, given its recurring nature and the discomfort it causes, it would be prudent to consult a dermatologist for a proper diagnosis and treatment plan. Early intervention can prevent complications and provide you with relief from your symptoms.

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