Persistent Labial Pimples: Causes and Treatments

Labial cysts on the labia majora that do not resolve?

Hello, Doctor.
Last week, I noticed a bump on my labia that hasn't gone away.
I visited a gynecologist this past Monday.
The doctor said it was a pimple and attempted to extract it, but mentioned that there was no pus and nothing else came out.
The doctor advised to leave it as is since nothing could be extracted.
However, he mentioned that the pimple would not go away and would remain there, similar to a whitehead.
My questions are: 1.
Will the pimple not develop pus in the future? 2.
Why was nothing able to be extracted? Is it because it is located deep? 3.
Is it true that the pimple will not go away? Thank you for your answers, Doctor!

Mo, 20~29 year old female. Ask Date: 2016/03/24

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that you consult a gynecologist to arrange for relevant examinations to confirm the diagnosis.
If it is a deep skin infection, it may be managed surgically.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2016/03/24

More Info

Persistent labial pimples, often referred to as labial cysts or sebaceous cysts, can be a source of concern for many individuals. Understanding the causes, treatment options, and the nature of these lesions is crucial for managing them effectively.

1. Will the pimple ever become pus-filled?
Typically, labial pimples that do not show signs of infection (such as redness, swelling, or warmth) and do not produce pus are less likely to become pus-filled. These lesions can be similar to whiteheads or closed comedones, which are clogged pores that do not have an opening to the skin surface. If a pimple is not inflamed or infected, it may remain as a small bump without progressing to a pus-filled lesion.

2. Why couldn't the doctor extract anything?
The inability to extract material from the pimple could be due to several factors. If the lesion is indeed a closed comedone or a cyst, it may not have a visible opening, making it difficult to express any contents. Additionally, the material inside may be too deep within the skin or may not have formed a typical pus-like consistency. In some cases, the contents may be keratin or sebum that is not easily expelled. If the lesion is a cyst, it may require a different approach for removal, such as surgical excision, rather than manual extraction.

3. Will the pimple ever go away?
The persistence of labial pimples can vary. Some may resolve on their own over time, while others may remain indefinitely. If the pimple is a cyst, it is less likely to disappear without intervention. Treatment options include:
- Observation: If the lesion is not causing discomfort or other issues, monitoring it may be sufficient.

- Topical Treatments: Over-the-counter topical treatments containing salicylic acid or benzoyl peroxide may help reduce the size of the pimple, although they are more effective for acne rather than cysts.

- Professional Extraction: A dermatologist can safely extract the contents of a cyst or pimple if necessary.

- Surgical Removal: For persistent cysts, surgical excision may be recommended to prevent recurrence.

In conclusion, labial pimples can be benign and may not require aggressive treatment unless they cause discomfort or cosmetic concerns. If you notice changes in the lesion, such as increased size, pain, or signs of infection, it is essential to follow up with a healthcare provider. Regular check-ups with a gynecologist or dermatologist can help monitor the condition and provide appropriate interventions if needed. Always prioritize your health and seek professional advice when in doubt.

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