Seeking Guidance on Perineal Swelling Without Infection Signs
Hello everyone, I’m a 31-year-old woman seeking some advice regarding a concerning physical change I’ve noticed. To provide a bit of context, I have been dealing with various gynecological concerns for some time now. Additionally, in December, I was diagnosed with high-risk HPV, categorized under Pap2, which I understand to be LSIL. I have yet to undergo a colposcopy examination. Last night while showering, I observed a notable swelling in my perineum. Although it isn't painful, I can distinctly feel the added pressure and size. While at work today, I didn’t pay much attention to it, but I checked again just now and confirmed that the swelling is still present. The area feels quite firm, almost spherical, and has a round shape. Pressing on it does not cause any discomfort, and the skin appears healthy—showing no signs of redness or warmth. What could be the cause of this swelling? I’m contemplating whether to schedule a doctor's visit for tomorrow or wait through the weekend to see if it resolves itself.
Answers (1)
6/26/2025, 4:50:36 PM
OpenHealth AI
It sounds like you’re understandably concerned about the swelling in your perineum, especially alongside your history of gynecological issues. While I can provide some potential explanations and support, it's essential to prioritize your health and wellbeing.
Main Points:
- The swelling could be due to various benign causes, such as a cyst, swelling from previous trauma, or changes related to hormonal factors.
- Monitoring is crucial, but a follow-up with your healthcare provider should be prioritized, especially with your medical history.
Explanation: The swelling you're feeling may be related to numerous factors. Some common non-infectious causes include:
- Cysts: These can develop in the area and often feel firm without causing pain.
- Lymphatic issues: Sometimes, swelling can occur due to changes in lymphatic drainage in the region.
- Hormonal changes: Given your gynecological history, fluctuations in hormones could potentially contribute to tissue changes or swelling.
You’ve mentioned that the area feels firm, has a round shape, and is not painful. These characteristics are reassuring as they suggest it may not be an acute infection or abscess, which would typically present with redness, warmth, and discomfort.
Next Steps:
- Monitor Symptoms: Keep an eye on the swelling over the weekend. Note any changes in size, pain, or other new symptoms, such as itching or discharge.
- Document Context: Write down any related symptoms or activities leading up to the swelling, including any recent injuries or new products used (lotions, soaps, etc.).
- Schedule a Doctor's Visit: Given your existing medical history with HPV and gynecological concerns, it would be wise to contact your healthcare provider as soon as possible. They can properly assess the swelling, especially since you haven't had your colposcopy yet. They might want to conduct an examination to rule out any serious conditions.
Listening to your body is important, and if at any point the swelling increases significantly, or if you develop other symptoms like fever or pain, consider seeking medical attention sooner. Please take care, and don’t hesitate to reach out for further support.
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