I have a bluish lump on my right buttocks that sits right next to the seam of my underwear & about 2-3 inches to the side of my vaginal opening. Why?

It is about an inch above where the fold of your leg and buttocks meet. During the last month it has been bothering me to sit and is sensitive to the touch. It seems to be bulging out more and more. I've had this for at least 25 years, but it has never bothered me. I thought it was a bruise but at that time the doctor told me it was just a varicose vein. I have never had children and I am thin. What could this be? What do I do about it? Thanks

Answers from doctors (6)


Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Published on Apr 04, 2016

An examination with Vein Lite is warranted and venous Doppler ultrasound to image the veins, if they are indeed veins, to determine the source and direction of reflux contributing to these veins. It could be the thigh extension of the vein of Giacomini, or it can be sourced from the perineum. See an ABVLM-certified vein specialist for guidance.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

An examination with Vein Lite is warranted and venous Doppler ultrasound to image the veins, if they are indeed veins, to determine the source and direction of reflux contributing to these veins. It could be the thigh extension of the vein of Giacomini, or it can be sourced from the perineum. See an ABVLM-certified vein specialist for guidance.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 29, 2016

The varicose vein probably clotted. The treatment is ibuprofen or aspirin for the pain and inflammation. The clot will slowly clear and does not move.

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Answered by Cosmetic Vein Centers of Texas

The varicose vein probably clotted. The treatment is ibuprofen or aspirin for the pain and inflammation. The clot will slowly clear and does not move.

Published on Jul 11, 2012


More About Doctor St. Louis Vein Center

Published on Mar 28, 2016

Varicose veins commonly occur in the vulvar\groin area . A board-certified vein specialist can assess this and treat it if you continue to have symptoms.

Answered by St. Louis Vein Center (View Profile)

Varicose veins commonly occur in the vulvar\groin area . A board-certified vein specialist can assess this and treat it if you continue to have symptoms.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 25, 2016

It's hard to say what it is, but an ultrasound should sort it out.

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Answered by Advanced Vein Center

It's hard to say what it is, but an ultrasound should sort it out.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 25, 2016

This can be a manifestation of pelvic congestion syndrome or pelvic venous insufficiency. See your vein specialist, but you may want to ask first if the MD treats these conditions. Not all vein specialists treat this.

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Answered by General Vascular Surgery Group

This can be a manifestation of pelvic congestion syndrome or pelvic venous insufficiency. See your vein specialist, but you may want to ask first if the MD treats these conditions. Not all vein specialists treat this.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 25, 2016

This could be a vein or a cyst. See a board-certified vein specialist for an evaluation. If it is a cyst, it could be surgically excised. If it is a vein, then there would be several options, including removal or sclerotherapy.

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Answered by Vanish Vein and Laser Center

This could be a vein or a cyst. See a board-certified vein specialist for an evaluation. If it is a cyst, it could be surgically excised. If it is a vein, then there would be several options, including removal or sclerotherapy.

Published on Jul 11, 2012


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