Healthy Living

Tuesday, February 9, 2010

Bumps Down Below

Hi Dr. Kate!

I have a problem that's been bothering me for a while. Ever since the first time I started shaving my private area, I have gotten a bump that was red and tough (fibrous). I've had a few more over the years and I always thought they will just go away, but they did not. I notice when I shave sometimes and accidentally cut it, it will bleed fresh red blood but not drain out fully. After reading your post on possible signs of STDs, I became very nervous since it sounds like they are herpes (acne-like bumps). However, they do not hurt, even if I apply pressure to them and they are not open wounds. The bumps are all on the mons, and I can see hair follicles in and around each. Is there anything else other than herpes that can present that way? Is this something I urgently need to see a GYN about? How can I treat it?

Sincerely,
Nervous girl


Dear Nervous,

Bump identification can be tricky. If the bumps haven't been excruciatingly painful, I doubt it's herpes (and herpes tends to present on your labia and near the entrance of your vagina at SOME point as well). And if the bumps are red, it's not likely HPV/warts, which are flesh colored.

While I can never be sure without seeing you, it certainly sounds like you've got folliculitis--ingrown hairs that lead to mild infections of the hair follicle. This happens more often in women with sensitive skin, but it happens to many women at one time or another. Ingrown hairs are common after shaving, and can be even worse after waxing.

T)o treat the bumps you've got, I would start with hot soaks daily (wet a washcloth with really hot but not boiling water and place on the bumps till the washcloth gets cool). After the soak, apply topical hydrocortisone cream (available over the counter) - apply it 2 or 3 times a day. If the bumps don't improve in two weeks, I'd see a gyno to make sure you're on the right track.

To prevent bumps in the future, change that razor! Most of us use disposable razors way too long--and the older a razor gets, the more it develops nicks in the blades that can snag skin, cause (micro-) cuts, and increase the risk of infection. Use cheapie disposable razors, and change them weekly. Be sure to use a generous amount of shaving cream/gel as well. The best way to prevent ingrowns is to also shave in the direction of the hair growth - it may not make for as close a shave, but it will be nicer to your skin.

Have any of you developed bumps down below after shaving/waxing? Do you have any tricks for treatment/prevention?

You can read more of my posts about gyno and sexual health on www.gynotalk.com.

[photo credit: Getty Images]
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From the Community…

Comments 1-10 of 105
  • Liz's Avatar
    Posted by Liz Mon Apr 13, 2009 9:58am PDT

    I can't wait to see what you ladies have for tips.

    I've read about Bliss, but at $40 a pop, it'll be a last resort. I've also read about Tend Skin. Basically it seems like a combination of glycolic acid and salicylic acid does the trick (peels the skin, keeps folicles open and is usually mixed with skin soothers like aloe and various oils)

    I've also read that strippers use plain stick deodorant-but I keep thinking that would clog pores??

    Right now I'm exfoliating in way that is akin to sandblasting bc we're going on vacation and I'm determined to have a perfect looking hooha. I've been getting waxed for years, but I'm cursed with uber sensitive skin and have yet to find a 'cure' for those damn bumps.

    The trials of womanhood. aye me.

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  • HawkeyeGirl's Avatar
    Posted by HawkeyeGirl Mon Apr 13, 2009 10:57am PDT

    I've found that even with super-sensitive skin, I get a lot fewer bumps with Veet or Nair than I do shaving or waxing. It's relatively cheap too, and as long as I don't leave the cream on for more than 10 minutes, there isn't any lingering skin redness.

    LOL, the things we women go through to look good "down there."

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  • unbiased's Avatar
    Posted by unbiased Mon Apr 13, 2009 11:39am PDT

    i love my hooha

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  • Sheila's Avatar
    Posted by Sheila Mon Apr 13, 2009 12:07pm PDT

    salicylic acid. Purchase the .5% solution for sensitive skin. I think Johnson & Johnson manufactures it. It is a blue liquid, relatively inexpensive and has many uses, at least for me. I had a skin rash on my legs, went to the doctor, got different ointments. Everything made it worse untill my mother-in-law revealed this trick. A cotton ball and salicylic acid. I use it as skin toner after washing my face and for "bumps," (Use it right after shaving as a preventative..but it does contain alcohol and can sting a bit) facial zits..whatever. It is in the acne/skni-care section. BTW, I do not have acne.

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  • pretty much amazing's Avatar
    Posted by pretty much amazing Mon Apr 13, 2009 12:11pm PDT

    Yes. I apply triple antibiotic (equate brand or neosporin) to my binki area right after shaving if I plan on being in a suit or something. It keeps me from getting any irritation bumps at all.

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  • Ginger's Avatar
    Posted by Ginger Mon Apr 13, 2009 12:46pm PDT

    The deodorant works. I don't know why it does. And yes, my friend got the info from a stripper. But I usually get nasty ingrown hair, but the stripper trick worked.

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  • Megan G's Avatar
    Posted by Megan G Mon Apr 13, 2009 1:30pm PDT

    LOL okay so i didnt know it was a 'stripper' thing apparently but after buying gels, creams and trying shaving, waxing, nair, veet, etc... I read some where online about deodorant, and when bringing it up to friends i found that most of them already were doing so. I dont know what your supposed look for in them (as they say some will clog pores) but i have tried a few, and i use Dove Power fresh. After i shower and shave when i get out i rub a straight line down each side of my bikini line (with hair growth- to avoid ingrowns, clogged pores) and then rub. Out of every thing i have tried...deodorant is the only thing i will use now and after about a month of using it, i did not get any more. I shave completely, and only get one bump or so a year when its hot out, but thats from playing alot of sports/swimming with tight bathing suits or sporting uniforms.

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  • sun2go's Avatar
    Posted by sun2go Mon Apr 13, 2009 1:43pm PDT

    If you shave with ingredients like mineral oil/petroleum-based and perfumed items, you're creating your own problem already. And please don't put a cortisone cream (steroid hormone-based!) on your genital area for bumps. You don't want such material absorbed into your vaginal area. Try something more natural, gentle & steroid-free like calendula. I wouldn't put chemical preservatives anywhere on my skin anyway. Read ingredients, buy natural. Everything you put on your skin is absorbed into your body, and your genital area is no exception. Cortisones & antibiotic creams can also weaken your ability to fight infection on your own, so you'll need more & more because your body will expect it. Please be very careful down there.

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  • sun2go's Avatar
    Posted by sun2go Mon Apr 13, 2009 1:52pm PDT

    And using antiperspirant means you're literally applying metal (aluminum) over your pores to block toxins that want to sweat themselves out naturally. Put it anywhere on your body, and you're trapping in toxins. Your body wants to rid itself of toxins, and blocking them in is unhealthy, period.

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  • pretty much amazing's Avatar
    Posted by pretty much amazing Mon Apr 13, 2009 2:03pm PDT

    Good point snowee. Deodorants are bad for you, and I fully agree with your "buy natural" point. I'm actually blown away that ppl think it's ok to deo their below. However, I'm not in a bikini every day. Using a bit triple antibiotic twice a month isn't going to weaken my immune system or create a dependency. I use it only when I need it.

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