Hello,
Likely causes: blocked gland cyst, inflamed hair follicle, or small abscess/boil. Bartholin cyst less likely due to location (clitoral hood).
Not typical for STI given your history and description.
Do: warm compresses/sitz baths 2–3× daily, loose cotton underwear, keep area clean, don’t shave, continue pain relief if needed.
Don’t: squeeze, pop, puncture, or use harsh soaps.
No sexual activity that causes friction or pressure
If its an abscess a doctor may need to drain it and possibly give antibiotics.
If cost is an issue, urgent care, a women’s health clinic are usually cheaper
Thank you
A painful bump on the vaginal hood with a dark red head could indicate several possibilities, which can typically include a sebaceous cyst, an inflamed hair follicle, or perhaps a Bartholin’s cyst. It might also be a small abscess, especially if it’s gotten more tender and red. Since you mentioned it started as a lump and became painful, these changes suggest it might be infected or at risk of infection. You’re doing well by applying warm compresses, as this can help promote drainage and provide relief through the warmth, which encourages circulation. It’s good this offers some comfort. However, given the current level of change in its appearance and increased pain, it’s crucial to monitor for signs of an infection like fever, pus, or spreading redness, which would require prompt evaluation by a healthcare professional.
Given that you lack insurance, it might be helpful to seek care at a community health clinic where services are often more affordable or based on a sliding scale. Avoid squeezing or trying to pop the bump as this can worsen an infection. You might consider continuing with warm compresses a few times a day and monitoring if symptoms reduce within a few days. Since you maintain good hygiene and your STI tests were negative, it supports that this is likely not STI-related. If the issue does not improve in a few days or worsens, try seeking medical advice as it might need antibiotics or drainage. Abstain from using cosmetic vaginal products that might worsen irritation. Avoid wearing tight clothing that exacerbates pain; sticking to loose-fitting cotton undergarments is key. If you notice any alarming symptoms, like systemic signs of infection, or rapid swelling or spreading, do reach out to a healthcare provider sooner rather than later to avoid complications.
