<s>[INST] Hello,I am concerned about little lumps (i would call it spots inside the skin) in my right labium, I found one earlier this week that sarted swelling up quite a lot and hurt terribly, it was difficult to find a way of sitting down comfortably. Now I found a second one in the same labium further down, a bit smaller, also tender to touch, if that starts swelling like the other one I wont  be able to sit at all. Then i started looking for more, and found one that is where my leg starts already, so away from the genital region at the start of the pubic hair area (loin/lumbar area). I am now really worried and would like to know what that could be, before I go to a doc as it is quite embarrassing. Thanks for your help [/INST] Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painful and swollen lumps on labium-From the facts given in your query, you seem to have-infected hair follicles/Boils, as your story goes by. The lump on the pubic area nearby confirms it being boiled. The chances of it being Carolina Cyst are less in your case because of the weeks' history when the first lump in right labium got bigger and was tender, not allowing you to sit even. So Don't worry.It's not cancerous but is infective lump. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist. </s>