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Female lump on perineum desperate for help

My girlfriend is a female born year 2001 ( she's 20)

So my girlfriend has seemed to develop a strange lump on her perineum I believe it's called, closer to her anus. It feels like a ball shape and she describes it to feel like it's internally pushing on the inside of her rectum and vaginal tube. It's not painful really it's just extremely uncomfortable. She's telling me she's in pain but then she tells me it's not that severe it's more just discomfort she's feeling. It's quite tight she feels like it's pushing out. It's a physical very firm ball. She struggles to poop, she said the ball sticks out when she tries. She already is often tense when using the bathroom if that adds to it. Overall is not something very comfortable.

Now she is very sensitive about her bum and anal area as she suffers from some severe anxiety and ptsd. I'm not able to touch it and I respect that for her, but I was really worried and convinced her to let me inspect it and I found it to be blue or purple where the lump is, along with her anus being quite discolored (blueish purple). I'm quite concerned but she's freaking out because like I said she's quite sensitive about this area. She also has a lot of slime consistency discharge coming out of who knows where, it doesn't seem to stop. She says it's not like her normal discharge.

She told me she's felt a lump there for nearly a year it's just gotten bigger overtime. I know the obvious thing to do is bring her to a doctor but she's absolutely terrified of having a doctor touch her parts. Especially her bum. Is this serious? What could it be? Please I'll do anything. She said if someone has to touch it that I can gently do whatever but I know it would hurt her, she would probably have a panick attack.

I'm desperate, please give me answers or advice. Thank you

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134578 tn?1693250592
COMMUNITY LEADER
It could be a hemorrhoid; you might look those up and show her a web page describing them. Often they are smaller, like a bunch of grapes, but sometimes they can get big enough to need medical intervention. (A friend of mine once had a "hemorrhoidectomy" for one that got out of control.) The idea of needing a procedure to deal with it won't soothe your friend's worries, but she's got to be worried already about what it is, after a year. So, she should be seen by a doctor. She is unlikely to have anal cancer because she is so young and anal cancer is rare, but that is another reason she should screw up her courage and see the doctor. She needs to rule out things more serious than hemorrhoids, as well as get this issue addressed.

To help with her distress, the person making the appointment (whether you or her) might explain to the nurse that this is very hard for her because of her PTSD, and ask if they can call in a prescription for one (single) Vallium tablet, for her to take before the appointment. It will help.
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