Suggest Treatment For Lower Abdominal Pain And Pimples In The Genitals

Posted on Tue, 28 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 28 Feb 2017 Answered on

Thu, 23 Mar 2017 Last reviewed on

Question : A few days ago, I began to experience discomfort in my lower abdomen. Then, a pimple appeared in my genital area (I am a female). At first, it was like a regular pimple, red and elevated. Then, it slowly filled with pus and the pain went away. Today, I was able to squeeze it out. Pus and some blood came out. I always use protection, but I am still worried. Could it be herpes? I looked at pictures of herpes online and I did not have this blister-like outbreak. It was just a single pimple, filled with thick pus. However, the lower abdominal pain worries, so, yes, could it be herpes?

Answered by Dr. Dr. Kakkar (22 minutes later)

Brief Answer:
Unlikely to be genital herpes

Detailed Answer:
Helo. Thank you for writing to us

I am dr.kakkar (dermatologist and venereologist). I have gone through your query and I have noted your concern.

From your description it seems like you have bacterial folliculitis or a furuncle rather than genital herpes. Firstly, herpes virus is not a pus forming microbe.
Moreover genital herpes usually presents with grouped fluid filled vesicles which soon rupture to form painful erosions which have a clear base rather than pus.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Kakkar (13 hours later)

Unrelated, but I would very much appreciate an answer. Around two years ago, I was diagnosed with high-risk HPV and CIN1. Today, I am HPV negative, with no abnormal cells. It seems like my body has cleared or supressed the infection. However, I have been thinking that I might have had low-risk HPV as well, just without an outbreak. What are my chances of having the warts-type of HPV without an outbreak? Furthermore, for a very long time, I have had this bumpy growths on the inside of my labia minora. They do not grow or spread or cause any discomfort. Also, they are in two straight lines on the both sides of the labia. I read about something called vestibular papillae, and these growths do resemble the pictures I have seen online. I asked my doctor about them and she said not to worry and that she has seen them in many women. Going back to the low-risk HPV, what are the chances that these growths are genital warts, caused by HPV? Thank you.

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
Possibly you have vestibular papillomatosis

Detailed Answer:
Hi.

You most likely have a condition known as vulvar vestibular papillomatosis which can be confused with genital warts but it is actually an anatomic variation and is a benign condition. It is seen in as many as 5% of females. I can confirm if you can click a few images and upload in "Reports Section". This condition usually presents as monomorphic asymptomatic and symmetrically arranged vestibular lesions. Unlike genital warts these lesions do not turn white on 5% acetic acid application.

Most of the patients who are infected with low risk hpv are able to eradicate infection within 2 years and since you have not had any visible genital wart for more than 2 years since you were diagnosed with high risk hpv therefore most likely you dont carry any hpv type now.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (13 hours later)

I uploaded a picture. Is it safe to apply 5% white vinegar and check, if they are going to turn white?

Answered by Dr. Dr. Kakkar (17 hours later)

Brief Answer:
Vestibular papillomatosis; No active intervention required

Detailed Answer:
Hi.

The image is not very clear and I cannot exactly make out the morphology of lesions though I suspect that they are vestibular papillomatosis rather than warts.
Acetowhitening test though of aid in distinguishing warts from other genital lesions, is not a specific test for confirming genital warts. There are a few other conditions where it may produce false positive results.
No. I wont recommend to do acetowhitening test at home. May be you can request your doctor to do it for you.
Here is an article published on vestibular papillomatosis in one of the journals. You can go through it. Here is the link -
http://www.e-ijd.org/text.asp?2016/61/4/460/185736

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng