[19F] With genital bumps post-tear and recent change in menstrual cycle

Patient Description

A 19-year-old female noticed bumps around her genital area for the past few days. These bumps are not painful or itchy and resemble pimples that cannot be popped. The bumps appeared suddenly following a tear in the area. The patient has had recent sexual activity but has not experienced any fever, swollen lymph nodes, pain during urination, or unusual vaginal discharge. The number of bumps has increased since they first appeared. There are no other skin changes or rashes elsewhere on her body, and she has not had any recent illnesses or infections. She has not been diagnosed with any sexually transmitted infections (STIs) in the past and is unsure if she or her partner have been tested for STIs recently. The patient has not traveled recently or been exposed to new environments or substances, but she did start using a new foaming Dove soap. Her menstrual periods have been starting a week late recently, which is a change from her usual pattern. Other than the tearing, she has not noticed any sores, blisters, or ulcers in the genital area. She does not have any pre-existing conditions and recently stopped taking Zoloft, Lamictal, Vraylar, and Hydroxyzine. She is not currently taking any other medications, including over-the-counter drugs, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for the bumps around your genital area:

  1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can appear as red or white bumps that resemble pimples. Folliculitis can occur due to friction, shaving, or the use of new personal care products.

  2. Genital Warts: Caused by certain strains of the human papillomavirus (HPV), genital warts can appear as small, flesh-colored bumps. They are usually not painful or itchy but can increase in number over time.

  3. Contact Dermatitis: This is a skin reaction to an irritant or allergen, such as a new soap or detergent. It can cause red, itchy, or bumpy skin.

  4. Molluscum Contagiosum: This is a viral infection that causes small, firm, painless bumps. It is spread through skin-to-skin contact.

  5. Herpes Simplex Virus (HSV): Although typically painful, herpes can sometimes present with mild symptoms. Given the recent tear, it's worth considering, especially if the bumps change in appearance.

What you can do

For Folliculitis:

  • Hygiene: Keep the area clean and dry. Avoid shaving the area until it heals.
  • Warm Compress: Apply a warm compress to the affected area to reduce inflammation.
  • Topical Treatments: Over-the-counter antibiotic ointments may help.

For Genital Warts:

  • Consult a Doctor: It's important to get a proper diagnosis and discuss treatment options, which may include topical treatments or minor surgical procedures.

For Contact Dermatitis:

  • Avoid Irritants: Stop using the new foaming Dove soap and any other new products that might be causing the reaction.
  • Moisturize: Use a gentle, fragrance-free moisturizer to soothe the skin.
  • Topical Steroids: Over-the-counter hydrocortisone cream can help reduce inflammation.

For Molluscum Contagiosum:

  • Consult a Doctor: A healthcare provider can confirm the diagnosis and discuss treatment options, which may include topical treatments or minor procedures to remove the bumps.

For Herpes Simplex Virus (HSV):

  • Consult a Doctor: It's crucial to get a proper diagnosis. Antiviral medications can help manage symptoms and reduce outbreaks.

What you should look out for

Given the nature of your symptoms, you should seek medical care if you notice any of the following:

  • Pain or Discomfort: If the bumps become painful or start to itch.
  • Changes in Appearance: If the bumps change in size, color, or start to ooze.
  • Fever or Swollen Lymph Nodes: These could indicate an infection that needs prompt medical attention.
  • Spread of Bumps: If the bumps spread to other areas of your body.

Remember, while I can provide some guidance, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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3 mo ago


People Also Ask


What are the common causes of bumps around the genital area?

Common causes of bumps around the genital area include folliculitis, genital warts, contact dermatitis, molluscum contagiosum, and herpes simplex virus. Each condition has distinct characteristics, so it's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between genital warts and other types of bumps?

Genital warts, caused by HPV, typically appear as small, flesh-colored bumps that are not painful or itchy. They can increase in number over time. Other types of bumps, like those from folliculitis or molluscum contagiosum, may have different appearances and causes. A healthcare provider can help differentiate between these conditions.


Can using a new soap cause skin reactions in the genital area?

Yes, using a new soap can cause contact dermatitis, which is a skin reaction to an irritant or allergen. This can result in red, itchy, or bumpy skin. If you suspect a new product is causing a reaction, it's best to stop using it and consult a healthcare provider if symptoms persist.


What should I do if the bumps around my genital area start to change or spread?

If the bumps start to change in size, color, or begin to ooze, or if they spread to other areas of your body, it's important to seek medical attention. These changes could indicate an infection or a different underlying condition that requires treatment.


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