[32F] With persistent bumps on bikini line and change in discharge

Patient Description

A 32-year-old female reports the presence of a few bumps on her bikini line for approximately 6 months. Initially, these bumps were cyst-like and could be popped, but they have since become hard, with one being firm and flesh-colored and the other growing slightly in size. The bumps are occasionally itchy and sore, though they rarely cause pain now. Wearing underwear tends to irritate them. Additionally, the patient has noticed a change in vaginal discharge over the past week, which appears slightly yellow, resembling bacterial vaginosis (BV). She reports no multiple sexual partners, only having contact with her husband. The patient's medical history includes ADHD, diagnosed in childhood, and she is currently taking Concerta 36 mg. She also takes several supplements including probiotics, digestive enzymes, berberine, rhodiola, ashwagandha, vitamin B12, and turmeric. No known allergies. The patient recently moved to a new house, which may be a change in environment.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities for what might be happening:

Folliculitis or Sebaceous Cysts: The bumps on your bikini line that were once cyst-like and could be popped may be related to folliculitis or sebaceous cysts. Folliculitis occurs when hair follicles become inflamed, often due to shaving or plucking hairs, which you mentioned. Sebaceous cysts are non-cancerous lumps beneath the skin, often caused by blocked glands. These can become firm and hard over time. Treatment typically involves warm compresses, good hygiene, and sometimes antibiotics if an infection is present.
Bacterial Vaginosis (BV): The change in your vaginal discharge to a slightly yellow color could suggest BV, a common vaginal infection caused by an imbalance of bacteria. BV is not sexually transmitted but can be associated with sexual activity. It is usually treated with antibiotics prescribed by a healthcare provider.

What you can do

For the bumps on your bikini line:

Avoid Irritation: Try to avoid shaving or plucking hairs in the affected area to prevent further irritation. Wearing loose-fitting underwear can also help reduce irritation.
Warm Compresses: Apply warm compresses to the area to help reduce any discomfort and promote drainage if the bumps are cystic.
Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water.

For the change in discharge:

Consult a Healthcare Provider: It's important to see a healthcare provider for an accurate diagnosis and appropriate treatment, especially if you suspect BV. They may prescribe antibiotics to help restore the natural balance of bacteria in your vagina.
Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider for better insights.

What you should look out for

Signs of Infection: If the bumps become increasingly red, swollen, painful, or start to drain pus, seek medical attention as these could be signs of an infection.
Persistent or Worsening Symptoms: If your discharge changes further in color, odor, or is accompanied by itching or irritation, consult a healthcare provider.
New or Unusual Symptoms: If you experience any new symptoms, such as fever or significant discomfort, it's important to seek medical advice promptly.

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

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6 mo ago

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