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Bump on the Labia Minora

6/18/2025, 7:20:27 PMMale25-34

I'm a 23-year-old female, standing at 5 feet 5 inches and weighing 129 pounds. I use an IUD for birth control, do not take any medications, and I am a non-smoker. Recently, I noticed a small, bump resembling a pimple located on the upper left side of my labia minora. It is about the size of a pea, feels firm when touched, contains some pus, and only becomes painful when pressed, similar to how a pimple would feel. I applied hydrocortisone ointment last night, which seemed to reduce the size significantly, and it appears that most of the pus has dissipated. I visited Planned Parenthood, where a nurse suggested that it’s likely a cyst, but they've decided to test for herpes and syphilis as a precaution. The test results are expected in about a week. After the visit, I observed that the area was somewhat red and looked bruised due to the swabbing. However, the bump is much less prominent than before. I have been in a monogamous relationship with my partner for the past three and a half years, and neither of us has been intimate with anyone else during that timeframe. My partner has not displayed any symptoms, and I've never encountered bumps or pimples in hairless areas before. My health anxiety is quite high, and I’m really stressed about this situation. I have been extensively searching for answers to determine whether this is merely a cyst or pimple, or something more serious like herpes or another STD. I would appreciate any thoughts or insights from others.

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

6/18/2025, 7:20:52 PM

OpenHealth AI

It’s understandable to feel anxious about a new bump, especially in such a sensitive area. Based on your description, the bump could likely be a sebaceous cyst, an ingrown hair, or a follicular infection. What is encouraging is that you’ve observed a reduction in size and pus after using hydrocortisone ointment, suggesting that it may not be a serious condition.

Explanation of Potential Causes:

  1. Sebaceous Cyst: A cyst can form when a hair follicle or oil gland becomes blocked. These bumps can feel firm and sometimes contain pus.
  2. Follicular Infection (Pilonidal Cyst or Pimple): These can also occur near hair follicles, presenting as firm bumps that may be painful when pressed.
  3. Sexually Transmitted Infections (STIs): It's wise to rule out herpes or syphilis, especially since testing is underway. However, based on your relationship history and the characteristics of the bump, the likelihood may be lower.

Prioritized Next Steps:

  1. Monitor Symptoms: Continue to observe the bump for any changes in size, pain level, or appearance. Record any new symptoms, such as itching, swelling, or unusual discharge.
  2. Avoid Irritants: Refrain from touching, squeezing, or applying harsh substances to the area. This can prevent further irritation or potential infection.
  3. Hydration & Healthy Habits: Maintain a balanced diet and stay hydrated to support your overall health, contributing to skin healing.
  4. Manage Anxiety: While it’s normal to feel anxious, try relaxation techniques such as deep breathing or mindfulness exercises to help manage stress while you wait for test results.

Additional Considerations:

If the bump does not go away in a week or worsens (increased pain, redness, or fever), consider following up with a healthcare professional. Also, remember that test results may provide important clarity and guide any necessary next steps.

It’s good that you’ve sought advice and medical input. Stay patient and calm as you wait for the test results, and know that you are taking steps to take care of your health. If you have further questions or need emotional support during this time, feel free to reach out.

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