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What causes small bumps in pubic area post razor shaving?

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Posted on Mon, 15 Jun 2015
Question: Hello, 3 wks ago my teenage daughter shaved her pubic area and that same night had a small bump appear near her clitoris and urethra. That evening her clitoris also became swollen and noticed a tear on it, we assumed the razor cut it. Days later, a rash on her bikini area forms. She went to the doctor and they said she had a razor rash or ingrown hairs (folliculitis), but they didn't address why she had clitoral swelling. Now fast forward to last night, my daughter still has a razor rash (healing), cuts and an itchy bump and swelling in clitoral area and keeps appearing only in the evening. It does this every night, and drs keep saying its ingrown hair. Now she's experiencing pain and dryness in vagina.
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Answered by Dr. Sameer Kumar (2 hours later)
Brief Answer:
possible bacterial and fungal infection together...explained.

Detailed Answer:
Hello,
Thanks for the query to HCM for an opinion,
This history is typical of a razor rash and folliculitis induced local bacterial infection which has still being spreading since last 3 weeks. The typical clitoral swelling which you are concerned about which reoccurs in the evening mostly, is probably due to a fungal element present with the infection. The presence of itching does indicate that and constant or occasional scratching over the clitoris can reinstate the swelling and inflammation. The infection may have spread to the vagina causing vaginitis which can cause pain and dryness. at the same time.
I feel a local swab test for culture should be taken from the clitoris and the vagina, both for a culture to isolate the possible fungal and bacterial cause. This would then require to be treated with a combination both anti fungals and antibiotics orally.

Please ask her to wear loose cotton clothes which should not cause any frictional injury around or over the clitoral area and the local genital area should be kept as moisture free as possible to hinder the fungal growth further.
It is suggested that you should visit your physician and discuss the option and diagnostic ways discussed above and then take an informed decision.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1699 Questions

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What causes small bumps in pubic area post razor shaving?

Brief Answer: possible bacterial and fungal infection together...explained. Detailed Answer: Hello, Thanks for the query to HCM for an opinion, This history is typical of a razor rash and folliculitis induced local bacterial infection which has still being spreading since last 3 weeks. The typical clitoral swelling which you are concerned about which reoccurs in the evening mostly, is probably due to a fungal element present with the infection. The presence of itching does indicate that and constant or occasional scratching over the clitoris can reinstate the swelling and inflammation. The infection may have spread to the vagina causing vaginitis which can cause pain and dryness. at the same time. I feel a local swab test for culture should be taken from the clitoris and the vagina, both for a culture to isolate the possible fungal and bacterial cause. This would then require to be treated with a combination both anti fungals and antibiotics orally. Please ask her to wear loose cotton clothes which should not cause any frictional injury around or over the clitoral area and the local genital area should be kept as moisture free as possible to hinder the fungal growth further. It is suggested that you should visit your physician and discuss the option and diagnostic ways discussed above and then take an informed decision. Regards