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Real members of myHSteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myHSteam Member asked a question 💭
Bedford, UK

I have mild stage 1 and have very rarely had a HS spot, and when I have previously it’s usually been itchy, burning, tickly, had a comedone and emitted a small amount of fluid at times.

I’ve noticed a small, pea sized lump inside my labia two days ago. However it is not painful - no itchiness, no comedone, no fluid, no pain at all. Is it likely this is also a HS spot or could it just be a “regular” small cystic spot?

I’ve been using clindamycin gel as a precaution and seeing dermatologist in… read more

November 13, 2025
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myHSteam

Can HS spots be painless?

Yes, it's possible for HS lesions to present without pain or itchiness, especially in early stages. HS lumps can vary widely in how they appear and feel. While pain is common, not all lesions follow the same pattern.

Early HS symptoms can include hard, pea-sized lumps that persist under the skin Show Full Answer

Can HS spots be painless?

Yes, it's possible for HS lesions to present without pain or itchiness, especially in early stages. HS lumps can vary widely in how they appear and feel. While pain is common, not all lesions follow the same pattern.

Early HS symptoms can include hard, pea-sized lumps that persist under the skin for weeks or months. These don't always have the typical signs like comedones, drainage, or discomfort right away. Some lesions remain as tender bumps, while others progress to abscesses with fluid drainage.

Since you have mild stage 1 HS and this lump lacks your usual symptoms (no itchiness, burning, comedone, or fluid), it could be an early HS lesion presenting differently, or it might be something else entirely like a regular cyst.

It's great that you're using clindamycin gel as a precaution and have a dermatologist appointment coming up. Keep monitoring the lump for any changes in size, pain, or drainage. Your dermatologist can examine it and determine whether it's HS-related or another type of lesion.

In the meantime, avoid squeezing or irritating the area, and continue with gentle skin care in that region.

November 13, 2025

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