Red Swelling and Black Bump in the Genital Area: What Could It Be?

There is a red, swollen area in the genital region with a small, raised black lesion?

There is a small area in the genital region that is noticeably red and swollen, with a small black raised lesion.
It is quite small but painful.
I am uncertain about what it is, so I would like to ask for advice.
It has been over a week, and it occasionally hurts when it gets rubbed, but it doesn't cause pain otherwise.
I researched online and found information suggesting it could be folliculitis, but I am still not sure.
I initially planned to wait for it to heal on its own, but I am concerned it might get worse.
I would appreciate a doctor's assistance in answering this.
Thank you.

Wei Ta Lu, 10~19 year old female. Ask Date: 2016/02/06

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-fitting clothing, ensuring adequate sleep, and following a light diet.
Additionally, try to avoid stress and prolonged sitting.
You may soak in a bath to relieve symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2016/02/06

More Info

The presence of a red swollen area and a black bump in the genital region can be concerning, and it is important to approach this situation with caution. Based on your description, there are several potential causes for these symptoms, and it is essential to consider them carefully.

1. Folliculitis: As you mentioned, folliculitis is a possibility. This condition occurs when hair follicles become inflamed, often due to bacterial infection, irritation, or blockage. It can present as red, swollen bumps that may be painful, especially if they are located in areas that experience friction. If the bump is indeed a result of folliculitis, it may resolve on its own, but it can also become more severe if left untreated.

2. Cysts: Another possibility is the presence of a sebaceous cyst, which can appear as a small, raised bump that may be painful if inflamed. These cysts are generally harmless but can become infected, leading to increased redness and swelling.

3. Ingrown Hair: Ingrown hairs can also cause localized redness and swelling, along with a painful bump. This occurs when a hair grows back into the skin instead of outward, leading to inflammation and sometimes infection.

4. Warts or Molluscum Contagiosum: The black bump could potentially be a wart or a molluscum contagiosum lesion, both of which are viral infections. Warts are typically rough and can be dark in color, while molluscum contagiosum presents as small, flesh-colored or pearly bumps.

5. Skin Infections: Bacterial or fungal infections can also lead to redness and swelling in the genital area. Conditions such as candidiasis (yeast infection) or bacterial vaginosis can cause irritation and discomfort.

6. Other Dermatological Conditions: Conditions like eczema or psoriasis can also manifest in the genital area, leading to red, inflamed patches and bumps.

Given that you have been experiencing these symptoms for over a week and that they are causing pain, it is advisable to seek medical attention. A healthcare professional can perform a physical examination and may recommend tests, such as a culture or biopsy, to determine the exact cause of your symptoms.
In the meantime, here are some general recommendations:
- Avoid Irritation: Try to avoid tight clothing and any activities that may cause friction in the affected area.

- Keep the Area Clean: Gently wash the area with mild soap and water, and avoid using harsh products that may irritate the skin further.

- Avoid Picking or Squeezing: Do not attempt to pop or squeeze the bump, as this can lead to further irritation or infection.

- Monitor Symptoms: Keep an eye on the symptoms. If you notice increased redness, swelling, or discharge, or if the pain worsens, seek medical attention promptly.

In summary, while there are several potential causes for the red swelling and black bump in the genital area, it is crucial to consult a healthcare provider for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery.

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