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Published on: 8/20/2026
What should I do if I find a lump between my vulva and anus?
A lump between the vulva and anus (the perineal area) can have several possible causes, ranging from harmless cysts to infections or, less commonly, more serious conditions. Common causes include Bartholin's cysts, ingrown hairs, abscesses, hemorrhoids, or skin tags. While many perineal lumps are benign, some require prompt medical treatment—especially if the lump is painful, growing, red, warm, or accompanied by fever, bleeding, or discharge.
Because the causes vary so widely, self-diagnosis can be difficult and delay proper care. The fastest way to narrow down what might be going on is to complete a free, instant, online symptom check. In just a few minutes, you'll get personalized insights based on your specific symptoms, helping you understand possible causes and decide on the right next steps—whether that's monitoring at home or seeing a healthcare provider.
Reviewed for medical accuracy: 07/15/2026
Quick answers
Frequently Asked Questions
4 answersThe most common questions people search after this page
- Most askedWhat could a pea-sized lump between the anus and scrotum indicate, and should it be evaluated by a healthcare professional?
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- A Hard Lump "Down There": How to Tell the Difference Between a Cyst and a Hemorrhoid
- How do I treat a hard lump near my anus at home?
Concerned about your symptoms?
Explanation
A lump in the area between your vulva and anus can be caused by many things. It might be a benign (noncancerous) growth such as a cyst, a fibroma, or other soft tissue lesion. Sometimes, it could also be a rare type of growth like a myxoid leiomyoma, which is typically not dangerous but should still be evaluated. Even if the lump does not hurt or bother you, having it checked by a healthcare professional is a wise decision. If you're experiencing symptoms and want to better understand what might be causing them, you can start by taking a free AI symptom checker to help identify potential causes. The provider will perform a physical examination and may recommend imaging tests like an ultrasound or MRI to elucidate the nature of the lump including the size and shape. In some cases, a small tissue sample (biopsy) might be taken to confirm the diagnosis. Checking out the lump will help rule out any serious conditions and provide reassurance if it is benign. Early evaluation ensures that you get the proper care and treatment if needed.
(References)
AlShalabi O, Alahmar FO, Aljasem H, Alsaid B, AlShalabi A. Pelvic Myxoid Leiomyoma Mass between Vagina and Rectum. Case Rep Surg. 2016;2016:3479132. doi: 10.1155/2016/3479132. Epub 2016 Jun 26. PMID: 27429825; PMCID: PMC4939208.
Sally R, Shaw KS, Pomeranz MK. Benign "lumps and bumps" of the vulva: A review. Int J Womens Dermatol. 2021 May 12;7(4):383-390. doi: 10.1016/j.ijwd.2021.04.007. PMID: 34621949; PMCID: PMC8484947.
Ning Y, Ling R, Zhang F, Zhang G, Zhang H. Common and uncommon lesions of the vulva and vagina on magnetic resonance imaging: correlations with pathological findings. BJR Open. 2023 Jun 28;5(1):20230002. doi: 10.1259/bjro.20230002. PMID: 37389007; PMCID: PMC10302693.
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