Should You See a Doctor for a Painful Bump on the Vulva?

Growths in the genital area?

I have noticed a red bump on my external genitalia, approximately the size of two-thirds of my pinky nail.
It hurts a little when touched, and the skin around it is somewhat itchy.
Should I see a doctor for this, or can I just leave it alone?

Aman, 20~29 year old female. Ask Date: 2015/12/25

Dr. Lin Manying reply Obstetrics and Gynecology

The symptoms may indicate folliculitis; if there is persistent tenderness, it is advisable to seek medical attention.

Reply Date: 2015/12/25

More Info

If you have developed a painful bump on your vulva, it is advisable to see a doctor. While it might be tempting to ignore it, there are several reasons why seeking medical attention is important.

Firstly, the bump you describe could be indicative of various conditions, some of which may require treatment. Common causes of painful bumps in the vulvar area include:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can lead to painful, red bumps that may itch or burn.

2. Bartholin's Cyst: This occurs when the Bartholin glands, located on either side of the vaginal opening, become blocked. This can lead to swelling and pain, especially if the cyst becomes infected.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, fleshy bumps and may be itchy or painful.

4. Herpes Simplex Virus: This sexually transmitted infection can cause painful blisters or sores in the genital area. If you have had previous outbreaks, this could be a recurrence.

5. Sebaceous Cyst: Similar to sebaceous cysts found elsewhere on the body, these can occur in the vulvar area and may become inflamed or infected.

6. Other Skin Conditions: Conditions such as eczema or psoriasis can also affect the vulvar area, leading to bumps, redness, and itching.

Given that the bump is painful and accompanied by itching, it is crucial to have it evaluated by a healthcare professional. A doctor can perform a physical examination and may recommend tests, such as a swab or biopsy, to determine the exact cause of the bump. Early diagnosis is key, especially if the bump is due to an infectious process or a sexually transmitted infection.

Moreover, self-diagnosing can be misleading and may lead to inappropriate treatment. For instance, if the bump is due to an infection, delaying treatment could lead to complications. On the other hand, if it is a benign condition, a doctor can provide reassurance and appropriate management options.

In summary, while it may seem minor, a painful bump on the vulva warrants a medical evaluation. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. A healthcare provider can offer the best advice tailored to your specific situation and ensure that any necessary treatment is initiated promptly.

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