[25F] With itchy, painful bumps in genital area

Patient Description

A 25-year-old female reports experiencing itchy and painful bumps located on the vulvar region, taint, and anus for nearly two months. The bumps are described as flesh-colored to pink, raised, dome-shaped lesions with a smooth surface, scattered across the vulvar area, with some being larger and others smaller. The patient notes that the symptoms initially improved with regular showering and keeping the area dry, but worsened after a period without showering for about a week. The bumps cause significant pain, particularly around the anus, making it difficult to wipe, with pain rated at 5 out of 10. The patient also reports a slight yeast infection, with symptoms persisting for one to two weeks. There is no history of injury or irritation in the affected area. The patient has tried wearing loose clothing and using certain creams to alleviate symptoms.

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Arora's Assessment

What might be happening

It sounds like you may be dealing with a few different issues. Here are some possibilities:

  1. Genital Warts: The flesh-colored, raised bumps could be genital warts, which are caused by certain strains of the human papillomavirus (HPV). They can appear around the vulva and anus and may cause itching or discomfort.

  2. Folliculitis or Cysts: The hard lumps under the skin might be inflamed hair follicles or cysts, which can become itchy and painful.

  3. Yeast Infection: The itching and discharge you mentioned could be due to a yeast infection, which is common and can cause irritation in the vaginal area.

It's important to see a healthcare provider for an accurate diagnosis and appropriate treatment.

What you can do

For the bumps and itching:

  • Consult a healthcare provider: It's important to get a proper diagnosis. They may recommend topical treatments or other medications.
  • Maintain hygiene: Continue wearing loose clothing and keep the area clean and dry.
  • Avoid irritants: Use mild, unscented soaps and avoid any products that may irritate the area.

For the yeast infection:

  • Over-the-counter treatments: Antifungal creams or suppositories can be effective. However, consult a healthcare provider for the best treatment option.
  • Diet and lifestyle: Eating yogurt with live cultures or taking probiotics may help restore the natural balance of bacteria and yeast in your body.

What you should look out for

  • Increased pain or swelling: If the pain worsens or the swelling increases, seek medical attention.
  • Changes in discharge: If you notice a change in color, consistency, or odor of the discharge, consult a healthcare provider.
  • Fever or other systemic symptoms: If you develop a fever or feel unwell, seek medical care promptly.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, and share notes with your provider.

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29 d ago

People Also Ask


What are the common symptoms of genital warts?

Genital warts often appear as small, flesh-colored or pink bumps in the genital area. They can be raised or flat, and may cause itching or discomfort. They are caused by certain strains of the human papillomavirus (HPV).


How can I differentiate between folliculitis and cysts?

Folliculitis typically presents as small, red, and inflamed bumps around hair follicles, often with a white tip. Cysts are usually larger, deeper lumps under the skin that can be painful and may not have a visible head. A healthcare provider can help differentiate between the two.


What are effective treatments for a yeast infection?

Effective treatments for a yeast infection include over-the-counter antifungal creams, ointments, or suppositories. It's important to follow the instructions on the packaging and consult a healthcare provider for the best treatment option, especially if symptoms persist.


When should I seek medical attention for bumps in the genital area?

You should seek medical attention if the bumps become increasingly painful, if there is significant swelling, if you notice changes in discharge, or if you develop systemic symptoms like fever. A healthcare provider can provide an accurate diagnosis and appropriate treatment.


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