[20F] With recurrent painful vaginal bump

What might be happening

Based on the information you have provided, here are some possible explanations for the painful bump you experience around your menstrual cycle:

• Bartholin's Cyst: These are fluid-filled cysts that can form on the Bartholin's glands, which are located on either side of the vaginal opening. They can become painful, especially if they get infected.

  • Treatment: Warm sitz baths can help the cyst drain on its own. If it becomes infected, a doctor may prescribe antibiotics or perform a minor surgical procedure to drain it.

• Hormonal Changes: Hormonal fluctuations during your menstrual cycle can cause various skin changes, including the formation of painful bumps.

  • Treatment: Over-the-counter pain relievers and warm compresses can help alleviate discomfort. Hormonal treatments may be considered by your healthcare provider.

• Folliculitis: This is an infection of the hair follicles, which can cause painful bumps. It can be triggered by shaving or other forms of hair removal.

  • Treatment: Keeping the area clean and avoiding shaving can help. Topical antibiotics may be prescribed if the condition persists.

• Hidradenitis Suppurativa: A chronic skin condition that causes small, painful lumps to form under the skin, often in areas where skin rubs together.

  • Treatment: This condition often requires medical management, including antibiotics, anti-inflammatory medications, and sometimes surgical intervention.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Warm Compresses: Applying a warm compress to the affected area can help reduce pain and encourage drainage if the bump is a cyst.
2. Hygiene: Keep the area clean and dry. Avoid using harsh soaps or irritants.
3. Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage pain.
4. Avoid Tight Clothing: Wear loose-fitting clothing to reduce friction and irritation.
5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Increased Pain or Swelling: If the bump becomes more painful or swollen, it could indicate an infection.
• Fever: A fever could be a sign of an infection that needs medical treatment.
• Discharge: If the bump starts to drain pus or other fluids, it may be infected.
• Persistent Symptoms: If the bump does not improve with home care or keeps recurring, consult a healthcare provider for further evaluation.

Remember, while I can provide information and suggestions, it's essential to consult a healthcare professional for a formal diagnosis and treatment plan.