What's the matter with a pimple on the vulva?

Pimples on the vulva may be related to folliculitis, Bartholin's cyst, condyloma acuminata, sebaceous cyst or vulvar eczema. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Folliculitis

Vulvar folliculitis is mostly caused by bacterial infection and manifests as red papules with pain. It may be related to insufficient local cleaning and irritation from friction with clothing. You can use mupirocin ointment or fusidic acid cream as directed by your doctor to fight infection, and take cefuroxime axetil tablets if necessary. It is necessary to keep the perineum dry and breathable every day.

2. Bartholin gland cyst

Obstruction of the Bartholin gland duct can form a cyst, which initially appears as a painless mass and becomes red, swollen, hot and painful when infected secondaryly. May be related to chronic inflammation or congenital developmental abnormalities. In the acute stage, doctors need to incision and drainage, combined with levofloxacin tablets to fight infection. Those with chronic and recurrent disease may need gland resection.

3. Genital warts

Human papillomavirus infection causes cauliflower-like growths that are contagious. Often spread through sexual contact. Doctors need to use cryotherapy or laser removal, use imiquimod cream locally to regulate immunity, and corrosive drugs are prohibited for self-treatment.

4. Sebaceous cyst

The sebaceous gland ducts are blocked and form subcutaneous induration, which may lead to secondary infection and suppuration. It is related to excessive sebum secretion or trauma. Smaller cysts can be observed, but larger or infected cysts require surgical removal. Avoid squeezing to prevent scarring.

5. Vulvar eczema

Allergic skin disease manifests as papules, oozing and itching. It may be induced by exposure to chemical agents or irritation from secretions. Hydrocortisone butyrate cream can be used short-term to relieve symptoms, and loratadine tablets can be used to treat allergies. Choose cotton underwear for everyday use and avoid scratching.

It is recommended to wash the vulva with warm water every day and avoid using alkaline lotions. Wear loose cotton underwear and wash it frequently, and change sanitary products in time during menstruation. If a pimple continues to enlarge, ruptures, exudes fluid, severe pain or fever, you must seek medical advice from a gynecologist or dermatologist immediately. Sexual intercourse is prohibited during treatment, and partners need to be checked simultaneously.