Painful Bumps in the Vulvar Area: When to See a Gynecologist

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Hello! I often have what looks like pimples on my vulva that can be a bit painful.
If I leave them alone, after a few days they turn into small white bumps that are not painful and do not drain.
Yesterday, I suddenly developed a very large, painful bump filled with blood and fluid.
I squeezed out the fluid, but today it is still very swollen.
Should I see a gynecologist to help make my intimate area smooth and free of bumps? Thank you! P.S.
I have not had sexual intercourse, so it shouldn't be genital warts, right?

Niming, 10~19 year old female. Ask Date: 2016/03/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to see an obstetrician-gynecologist.
Wishing you good health.

Reply Date: 2016/03/08

More Info

When it comes to painful bumps in the vulvar area, it is essential to understand the potential causes and when to seek medical attention from a gynecologist. Based on your description, it sounds like you are experiencing recurrent bumps that resemble pimples, which can be concerning, especially when they become painful or filled with fluid.

Firstly, it is important to note that the vulvar area can be affected by various conditions, including but not limited to:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria or irritation. It can present as small, painful bumps that may become filled with pus.

2. Bartholin's Cyst: The Bartholin glands are located on either side of the vaginal opening and can become blocked, leading to the formation of a cyst. If the cyst becomes infected, it can cause significant pain and swelling.

3. Sebaceous Cysts: These are non-cancerous lumps that can occur when sebaceous glands become blocked. They are usually painless but can become inflamed or infected.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, painless bumps. However, they can also be painful if they become irritated or if there is a secondary infection.

5. Herpes Simplex Virus: This can cause painful blisters or sores in the genital area. If you experience recurrent outbreaks, it is crucial to consult a healthcare provider.

Given that you mentioned the presence of a large painful bump filled with fluid, it is advisable to seek medical attention. While it is understandable to be concerned about the possibility of sexually transmitted infections (STIs) such as genital warts, it is also important to remember that many conditions can cause similar symptoms. Since you have not engaged in sexual activity, the likelihood of STIs may be lower, but it is not entirely ruled out, as some infections can be transmitted through non-penetrative sexual contact.

Seeing a gynecologist is recommended for several reasons:
- Diagnosis: A healthcare professional can perform a physical examination and may recommend tests (such as a swab or biopsy) to determine the exact nature of the bumps. This is crucial for appropriate treatment.

- Treatment Options: Depending on the diagnosis, treatment may vary. For example, if it is a Bartholin's cyst, drainage may be necessary. If it is an infection, antibiotics may be prescribed.

- Prevention: A gynecologist can provide guidance on maintaining vulvar health and preventing future occurrences of similar bumps.

In conclusion, while some bumps may resolve on their own, the presence of a painful, fluid-filled bump that persists warrants a visit to a gynecologist. Early intervention can help alleviate discomfort and prevent potential complications. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas like the vulva.

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