Hi doctor,
I am a 48 year old female. My weight is 58 kg. I have noticed a round flesh color growth that hangs externally on my pubic hair outside my labia majora. It has been there for two years. It does not hurt but it is bothering me because it became a bit bigger. I have attached a photo. I am taking medicine Zoloft and Valium. Please help me.
Hi,
Welcome to icliniq.com.
I have noted the description and observed the attached picture (attachment removed to protect patient identity). I will attempt to solve your health concerns as best as I can.
I have dealt with a good number of cases having similar presenting features. In all such cases, a close visual examination was generally sufficient to arrive at the proper conclusion about the identity of the problem. The picture you have attached is not that clear.
I will request you to kindly send a better set of pictures limited only to the lesion, as well as describe how the lesion feels to touch whether soft or hard.
Also give me additional details like release of any cheesy material upon pressure from the sides, any oozing of pus, firmness at its base, any satellite lesions, any relationship with similar condition in your partner, and finally if you notice that there is any small depression in the center of roof of lesion.
I am considering the possibilities of a wart, molluscum, benign skin lesions or sebaceous cyst.
Most of the stated problems should be easy to tackle. I will await your response.
Revert back with clear photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Hi doctor,
Thanks for your response. The texture of the growth is soft. It looks like an extra skin that I can move about. When I squeeze it wrinkles and I can also twist it around. If I continue doing so will it fall off? For instance if I put a string around it, will it snap off? There is no oozing of pus. There is no base; it is like a balloon that has a straw connecting it to that extra flesh skin. There are no satellite lesions and my partner has nothing of this kind. There is no depression in the center of the roof of the lesion. The photo may be misleading as it looks like a bump with fluid but it has no fluid. It is just extra skin hanging. I have first noticed it after I shaved three years ago as I usually shave my pubic hair. And finally there is no cheesy material when pressing it. I hope this will help.
Hi,
Welcome back to icliniq.com. Thanks for your reply and details. It has been very useful to assess the condition with your inputs.
This very closely matches the description of a skin tag or acrochordon. These lesions are simple outgrowths of skin and are best dealt with by simple office based surgery requiring only local anesthesia.
The base is anesthetized and the lesion is cut off from the base itself leaving a small mark which only rarely bleeds, and that too just ooze, and tends to heal fast. Antibiotics applied locally after the procedure does help.
A painkiller for a day or so should be handy. The procedure does not need any rest except for a few hours and one can get back to work the same day.
It is done best using a radiofrequency machine or a laser. But, it is possible to deal with the lesion even without such modalities.
However, the stated modalities are common place and your GP might consider treating you in her or his minor operation theater with any technique he or she has mastered.
For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
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