What's wrong with pimples and pain on vulva?

Painful pimples on the vulva may be related to folliculitis, Bartholin's cyst, condyloma acuminata, vulvar eczema, genital herpes, etc., which can be relieved by local cleaning, drug treatment, surgical drainage, etc. The skin of the vulva is delicate and easily irritated, so the cause needs to be identified promptly and treated accordingly.

1. Folliculitis

Bacterial infection of vulvar hair follicles may cause red, swollen and painful bumps, often caused by shaving or friction with clothing. You can use mupirocin ointment or fusidic acid cream as directed by your doctor to fight infection, and use warm sitz baths to promote the resolution of inflammation. It is necessary to keep the perineum dry and clean every day and avoid scratching.

2. Bartholin gland cyst

Blockage of the glandular ducts may form cystic masses that may become tender and indurated when infected secondary to infection. In the acute stage, oral administration of cefaclor capsules combined with metronidazole tablets is required for anti-inflammation. In case of suppuration, surgical incision and drainage are required. It is recommended to wear loose cotton underwear to reduce local compression.

3. Genital warts

Human papillomavirus infection can cause cauliflower-like growths that may cause burning or bleeding. Clinically, imiquimod cream is commonly applied topically, or cryotherapy is used to remove warts. The disease is contagious and sexual intercourse should be prohibited during treatment.

4. Vulvar eczema

Allergies or moisture irritation may cause papules with severe itching and pain after scratching. Hydrocortisone cream can be used short-term to relieve inflammation, and loratadine tablets can be used to treat allergies. Avoid using alkaline lotions to rinse the perineum.

5. Genital herpes

When the herpes virus recurs, clusters of blisters will appear, which will rupture and form erosions. Acyclovir cream combined with valacyclovir tablets can inhibit viral replication, and lidocaine gel can be used externally when pain is severe. During the attack period, nutrition needs to be strengthened to improve immunity.

When vulvar pimples and pain occur, it is recommended to wash them with warm water every day and keep them dry, and avoid using panty liners or chemical fiber underwear. The diet should be light and the intake of spicy foods should be limited. If symptoms persist for 3 days without relief or fever, ulcer spread, etc. occur, you should immediately go to a gynecologist or dermatologist. If necessary, conduct secretion testing or pathological examination to confirm the diagnosis.