<s>[INST] I found a pea sized lump in the perineum about two weeks ago. It is not painful, just an irritant. I am 54 years old and very physically active, run approximately 20 miles a week and lift weights. I have tried anti-pimple cream which did nothing and since have put anti-itch cream on there. Any ideas of what it could be and appropriate action on my part? [/INST] hi greetings from HCM. I understand your concern.since you are a physically active man due to weight lifting you may have developed a small heamatoma due to tearing of small blood vessels which has become a small pea sized swelling. you need to abstain from weight bearing for about two weeks till it subsides Consult a Urologist if problem is persisting </s>