[19F] Experiencing genital pimples without discomfort

Patient Description

A 19-year-old female reports the presence of small, non-clustered pimples around the genital area, which are neither painful nor itchy, and have not shown any noticeable changes over an unspecified period. The patient has a recent history of unprotected sexual activity and thought to have had a self-resolving urinary tract infection. Vaginal discharge has been noted to vary from clear and slimy around ovulation to milky white, and currently, the patient describes the vagina as mostly dry. There is no history of similar pimples elsewhere on the body, no known allergies, no current medications, and the patient has had a past yeast infection. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Genital Warts: These are small, fleshy growths that occur due to infection with certain types of human papillomavirus (HPV). They are usually painless and can vary in size and appearance. They can be spread through sexual contact.

    • Treatment typically involves topical medications or procedures to remove the warts.
  • Molluscum Contagiosum: This is a skin infection caused by the molluscum contagiosum virus. It results in round, firm, painless bumps ranging in size. The bumps are typically flesh-colored and can be spread through sexual contact.

    • Treatment can involve topical medications or procedures to remove the bumps.
  • Folliculitis: Inflammation or infection of the hair follicles that can cause small, itchy pimples. This can occur due to irritation from shaving or wearing tight clothing.

    • Treatment typically involves good hygiene practices, warm compresses, and sometimes topical or oral antibiotics.

Please note that these are possibilities based on the information provided, and a healthcare professional should be consulted for a formal diagnosis.

What you can do

  1. Schedule an appointment with a healthcare professional: They can provide a formal diagnosis and treatment plan.
  2. Practice good hygiene: Keep the area clean and dry. Avoid touching or scratching the area.
  3. Avoid sexual contact: Until you have a diagnosis, it's best to avoid sexual contact to prevent potentially spreading an infection.

What you should look out for

  • If the pimples become painful, itchy, or start to discharge
  • If you notice an increase in the number or size of the pimples
  • If you develop any new symptoms, such as fever, abdominal pain, or unusual vaginal discharge

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What are genital warts and how are they treated?

Genital warts are small, fleshy growths caused by certain types of human papillomavirus (HPV). They are usually painless and can vary in size and appearance. Treatment typically involves topical medications or procedures to remove the warts.


What is molluscum contagiosum and how can it be managed?

Molluscum contagiosum is a skin infection caused by the molluscum contagiosum virus, resulting in round, firm, painless bumps. These bumps are typically flesh-colored and can be spread through sexual contact. Management may involve topical medications or procedures to remove the bumps.


What causes folliculitis and what are the treatment options?

Folliculitis is the inflammation or infection of hair follicles, often caused by irritation from shaving or wearing tight clothing. Treatment usually involves good hygiene practices, warm compresses, and sometimes topical or oral antibiotics.


How can I differentiate between normal vaginal discharge and one that indicates an infection?

Normal vaginal discharge can vary in consistency and color throughout the menstrual cycle, often being clear and slimy around ovulation and milky white at other times. Discharge that is accompanied by a strong odor, itching, or irritation may indicate an infection and should be evaluated by a healthcare provider.


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