Hard and Painful Lump above Genital area in Female & Male: Diagnosis, Symptoms

The genital area is commonly affected by lumps and bumps. Some can occur in only one gender or in both. A number of them are quite harmless and in fact do not require treatment. Some are signs of infections and should therefore be treated immediately.

The only way you can know if you should seek treatment for a lump above the genital area or in the genital area is by first learning its cause. Diagnosis at home can be done with the help of online pictures and by analyzing the symptoms. All the same, diagnosis is best confirmed by a doctor. This article is about Painless, Hard, or Painful Lump on and above Genital area in Females & Males: Causes, Diagnosis, Symptoms and Treatment.

Hard lump in genital area in females

A hard lump in the genital area in females can be due to any of the following causes:


Vulva and vaginal cysts are fairly common. Cysts form when a duct or a gland becomes clogged. In the vulva, glands such as Bartholin’s gland are commonly responsible for cysts in the region.

If you notice a hard lump in your vagina after childbirth or some form of vaginal surgery, it could be a vaginal cyst. They in most cases are pea-sized. Cysts resolve on their own without medical treatment. They can however be removed if causing discomfort.


Varicosities are common during pregnancy. They are much similar to varicose veins. During varicosities formation, the veins that circulate blood around the vulva swell and form small lumps. The lumps are usually not painful. They can however be a bit itchy.

Fordyce spots

A yellowish or whitish lump in the vulva indicates a Fordyce spot. Basically, it is an enlarged sebaceous gland that becomes visible and forms a lump under the skin. They are neither painful nor harmful and are very common during puberty.

Painful, no pain, hard lump in genital area in males

A painful, normal, or hard lump in the genital area in males can be caused by any of the following:

Pearly penile papules

These are tiny lumps that form a row on the ring of the penis. They are totally normal and completely harmless.


This is a hard lump on the penis shaft that forms due to temporary blockage of the lymphatic system. It develops after hard sex or masturbation. Lymphocele is not harmful and will resolve on its own.

Fordyce’s spots

These small lumps mostly occur on the skin of the male scrotum. They are not harmful but can get quite itchy. In most cases, they will appear as red blood-blisters and in clusters. A pea sized lump in the scrotum is sometimes caused by a Fordyce’s spot.

Chicken-skin scrotum

This term is only used to paint the main idea. The scrotal skin is usually rough due to presence of hair follicles. This is very normal and should not get you worried. However, one or several of the follicles can get inflamed or infected. This results in painful, irritated, red and itchy bumps.

Lump above genital area common causes

A lump above the genital area will in most cases be located in the groin region. It can be caused by:


Hernia describes a condition in which an internal organ or tissue pushes through a weak spot in the organ or tissue that hold it. A small lump behind the ear, for example, can be a hernia. Above the genital area, a hernia mostly occurs on the abdominal wall. It develops when a part of the bowel pushes through a weakened spot on the abdominal wall. This can be caused by a birth defect or a surgical operation such as after C section. There are three types of hernia that can form a lump above genital area:

  • Inguinal hernia – develops when the inguinal canal in baby boys fail to close as it is required. It is through the inguinal canal that testicles descend during embryonic development.
  • Umbilical hernia – it is caused by failure of the umbilical section to close in time when a child is developing. This type usually resolves by the time a child is 3 years.
  • Incisional hernia – occurs after a surgical operation has weakened the abdominal wall.

Swollen lymph nodes

A hard painful lump in the genital area just above the groin area is most likely swollen lymph nodes. Lymph nodes swell in response to the presence of an infection or a disease in the body. The groin region is a major terminal for lymph nodes.

Causes of lump in and above genital area in females and males

Ingrown hairs

Ingrown hairs form in hair follicles. This occurs when shaving is done too deep into the skin. Plucking and waxing also encourage ingrown hairs. While they are generally harmless, they can become infected with bacteria.


  • Genital herpes – this is the most common STD in men and women. It is caused by a virus and transmitted through sexual intercourse. Herpes keeps coming and going, as it is not treatable. The disease is however not fatal. Other than itchy, red sore lumps, it will also cause fever, genital pain and swelling if the lymph nodes.
  • Genital warts – genital warts are caused by HPV, which is a virus. The virus is transmitted through sexual intercourse. A lump due to genital warts will feel soft and tender. It will also take the color of skin. Genital warts resemble a cauliflower.
  • Syphilis – syphilis usually causes a painless sore lump in the genital area. If left untreated, the sore disappears just to come back in form of a series of very harsh symptoms. Syphilis is treated with antibiotics.

Skin tags

Skin tags are small projections on the skin that are attached through a stalk. Skin tags can be felt as tiny lumps on the skin. They are generally harmless unless causing discomfort. Friction is thought to be the main cause of skin tags.

Lichen planus

It is an inflammatory disease of the skin. Bumps due to lichen planus appear purplish in color. They are also itchy and tend to form flat tops. The bumps develop over the course of weeks.

Hard lump genital area female and male tumors

Hard lump tumors in the genital area in females or males are of various types. They include:


Lipomas are basically fat nodules that can form in the genitals under the skin. They feel rubbery and soft to touch. Lipomas are not only harmless but also not painful. It is common to see a lump on the bicep under the skin caused by lipoma. Treatment is not required.

Seborrheic keratoses

Rarely occurs in either the male or female genital area. Forms brown or black lesions with a very regular edge.


These are nodules that form on the connective tissue. They occur after ruptured cysts, insect bites and infections.

Malignant tumors

Malignant tumors will rarely start in the genital area. The common symptom of malignancy is formation of a hard, mostly painless lump that has no apparent cause. The lump will keep gaining mass with time.

Diagnosis and treatment for genital lumps

Diagnosis can be done with the help of:

  • Physical examination
  • Blood tests – mostly used when an infection is involved or in advent of signs such as a soft painful lump on the roof of the mouth and swollen lymph nodes
  • Urine and stool tests
  • Pregnancy tests
  • MRIs
  • X-rays
  • Ultrasound
  • CT scans
  • biopsies

Treatment depends on the cause. Severe lumps and ones that do not respond to treatment are usually removed surgically. Benign tumors are mostly left to resolve on their own.

You are always advised to see your doctor for a diagnosis in the advent of a lump in the genital area. In most cases, diagnosis will need not go further than a physical examination and some questions about the symptoms or your medical history.