Changes in Labial Appearance After Folliculitis Recovery

Is it normal for the appearance of the labia to change after recovery from vulvar folliculitis?

Asexual experience, normal discharge, discomfort began on the first day: (I’m not sure if it’s due to the weather change or swelling of the labia, but I had a fever which subsided the next day).
On April 30 (Saturday), upon waking up, I noticed significant swelling on the left labia majora, feeling as if the labia had thickened, with a pudding-like texture.
It doesn’t hurt unless touched, but I can feel a tubular swelling in the lower area (recalling that my pants had rubbed against the vulva a few days prior).

During this time, I tried soaking in warm water to see if the swelling would reduce, but it didn’t help.
I was worried about the possibility of cellulitis, and it wasn’t until the sixth day that I decided to see a doctor: on May 5 (Thursday), I visited a gynecologist who diagnosed it as folliculitis.
At that time, there were no visible wounds (breaks), and the topical medication had little effect.
I was prescribed antibiotics to take regularly, along with antibiotic ointment.

On May 7 (Saturday), a small pustule (similar to a pimple) appeared at the swollen site, and I could faintly see white inside.
On May 8 (Sunday), I felt extremely uncomfortable in the morning and afternoon; the swelling and discomfort while sitting or riding a motorcycle were significant.
That night, the swollen area developed a break, and some pus drained out on its own, which alleviated much of the discomfort.
When applying medication, I also managed to push out some pus (though I was hesitant to squeeze too hard).

Today marks the 11th day of folliculitis, and I have been taking and applying the medication as prescribed.
The swelling of the labia has reduced considerably, but the left labia has not yet returned to the smoothness of the unaffected right labia; it still feels slightly thick.

1.
Is it because the pus hasn’t completely drained? Or should I have been more decisive and squeezed it out despite the pain?
2.
If it hasn’t been fully drained, even if the folliculitis resolves, will it leave a residual focus that could lead to a recurrence?
I would like to provide detailed information about my condition for the doctor’s reference.
Thank you for your patience in reading this.

Cindy, 20~29 year old female. Ask Date: 2016/05/11

Dr. Lü Lizheng reply Obstetrics and Gynecology

The response should continue to improve; if there is no improvement, medical attention should be sought.
Maintaining airflow and dryness in the vulvar area should help prevent recurrence.
- Dr.
Lu Li-Cheng, Taoyuan Hospital

Reply Date: 2016/05/11

More Info

After experiencing folliculitis, particularly in the labial area, it is common to have concerns regarding changes in appearance and the potential for recurrence. Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, irritation, or blockage. In your case, it seems that the condition was exacerbated by friction from clothing, leading to swelling and the formation of a pustule.

1. Understanding the Changes in Labial Appearance: It is not unusual for the affected area to remain slightly swollen or thickened even after the infection has resolved. This can be due to residual inflammation or the healing process of the skin. The skin may take time to return to its normal state, especially if there was significant inflammation or if the pustule ruptured. The presence of a small amount of residual swelling or thickness can be a normal part of healing, and it may take several weeks for the area to fully normalize.

2. Concerns About Pus and Healing: If there is still some thickening or a feeling of fullness in the area, it could be due to residual pus or fluid that has not fully drained. However, it is crucial to avoid forcibly squeezing or trying to expel any remaining pus, as this can lead to further irritation or even introduce new bacteria, potentially causing a secondary infection. Instead, it is advisable to allow the body to naturally resolve any remaining inflammation.

3. Recurrence of Folliculitis: If the folliculitis has resolved but there is still some residual thickening, it does not necessarily mean that the condition will recur. However, if the underlying causes—such as friction, moisture, or bacteria—are not addressed, there is a risk of recurrence. Maintaining good hygiene, wearing breathable clothing, and avoiding irritants can help prevent future episodes.

4. When to Seek Further Medical Attention: If the swelling does not continue to improve or if you notice any new symptoms, such as increased redness, pain, or discharge, it would be wise to follow up with your healthcare provider. They may recommend further evaluation or treatment, such as a different topical medication or a course of oral antibiotics if there is concern about lingering infection.

5. Post-Recovery Care: After recovering from folliculitis, it is essential to take care of the skin in the affected area. Gentle cleansing with mild soap and water, avoiding tight clothing, and applying a soothing ointment or moisturizer can help support healing. If you are concerned about the appearance or feel of the area, discussing these concerns with your healthcare provider can provide reassurance and guidance.

In summary, while it is normal for the labial area to take time to return to its pre-infection state, monitoring for any signs of infection or recurrence is essential. If you have any lingering concerns or symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and support.

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