[21F] With itchy bumps near vaginal area post hair removal

Patient Description

A 21-year-old female presents with itchy, pointy bumps on the inner buttocks and outer vaginal area, appearing a couple of days ago. The bumps resemble pimples and release pus when squeezed. The patient reports recent shaving and use of hair removal products in the area about two weeks ago. There is a history of a new sexual partner, but no recent STI testing. The patient denies fever, general unwellness, pain during urination, or unusual discharge. No pre-existing conditions, medications, or known allergies are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Folliculitis: This is an inflammation of the hair follicles, often caused by shaving or using hair removal products. It can lead to itchy, pus-filled bumps.

    • Treatment typically involves keeping the area clean and avoiding further irritation. Warm compresses can help soothe the area.

  • Contact Dermatitis: This can occur from irritation due to hair removal products. It often results in itchy, red bumps.

    • Treatment involves avoiding the irritant and using soothing creams or ointments.

  • Ingrown Hairs: Shaving can sometimes cause hairs to grow back into the skin, leading to bumps and irritation.

    • Treatment includes gentle exfoliation and avoiding tight clothing that may irritate the area.

  • Sexually Transmitted Infections (STIs): Some STIs can cause bumps or lesions in the genital area. It's important to consider this, especially with a new sexual partner.

    • Testing and treatment from a healthcare provider are necessary if an STI is suspected.

What you can do

  • Keep the Area Clean: Gently wash with mild soap and water.
  • Avoid Further Irritation: Refrain from shaving or using hair removal products until the area heals.
  • Use Warm Compresses: Apply to the area to reduce itching and discomfort.
  • Consider Over-the-Counter Creams: Hydrocortisone cream may help with itching, but consult a pharmacist or doctor first.
  • Track Symptoms: Use MDandMe to journal your symptoms and track any changes. This can be helpful for your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • The bumps worsen or spread significantly.
    • You develop a fever or feel unwell.
    • You notice any unusual discharge or pain.

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment.

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2 mo ago

People Also Ask

What is folliculitis and how can it be treated?

Folliculitis is an inflammation of the hair follicles, often caused by shaving or using hair removal products. It can lead to itchy, pus-filled bumps. Treatment typically involves keeping the area clean, avoiding further irritation, and using warm compresses to soothe the area.

Can hair removal products cause skin irritation or bumps?

Yes, hair removal products can cause skin irritation or bumps, known as contact dermatitis. This occurs when the skin reacts to an irritant, resulting in itchy, red bumps. Avoiding the irritant and using soothing creams or ointments can help alleviate symptoms.

What are ingrown hairs and how can they be prevented?

Ingrown hairs occur when shaved or tweezed hair grows back into the skin, causing bumps and irritation. To prevent them, avoid shaving too closely, use a sharp razor, and exfoliate the skin gently to help free trapped hairs.

How can I differentiate between a skin irritation and a sexually transmitted infection?

Skin irritation from shaving or hair removal products typically presents as red, itchy bumps, while sexually transmitted infections (STIs) may cause more persistent lesions or bumps, sometimes accompanied by other symptoms like unusual discharge or pain. If there's a possibility of an STI, especially with a new sexual partner, it's important to get tested by a healthcare provider.

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