Folliculitis: Treatment and Recovery for Labial Inflammation - Dermatology

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Pubic folliculitis


Hello Dr.
Wu: My left labia majora is red, swollen, and painful due to folliculitis.
I have seen a dermatologist and have been taking medication for two days, but the swelling has not completely subsided (although the pain has resolved).
The doctor prescribed a three-day course of medication, which includes both oral and topical treatments.
The oral medications are Amoxicillin, Clindamycin, Portarlon tablets, and Weifu tablets; the topical medication is Gentamicin.
If I finish the three-day course and the swelling has not completely resolved, should I go back to get more oral medication, or should I wait until I finish the topical ointment and return for a follow-up if the swelling persists? Additionally, will taking antibiotics for more than three days have any negative effects on my body? Thank you, doctor.

Cathy, 20~29 year old female. Ask Date: 2016/07/02

Dr. Wu Yuxin reply Dermatology


You need to go for another check-up.
It will not have any negative impact on your health.

Reply Date: 2016/07/02

More Info


Folliculitis, an inflammation of the hair follicles, can occur in various areas of the body, including the labial region. It is often characterized by redness, swelling, and pain, as you have experienced. The treatment regimen you are currently on, which includes antibiotics like Amoxicillin and Clindamycin, as well as topical treatments such as Gentamycin, is appropriate for managing bacterial folliculitis.

In your case, it is encouraging to hear that the pain has subsided after two days of treatment, although the swelling persists. This is not uncommon, as the resolution of inflammation can take time, even when the pain diminishes. The antibiotics you are taking work to eliminate the bacteria causing the infection, while the topical treatment helps to reduce local inflammation and promote healing.

Regarding your question about whether to continue with the medication after the initial three days, it is generally advisable to complete the full course of antibiotics as prescribed by your physician, even if symptoms improve. This helps to ensure that the infection is fully cleared and reduces the risk of developing antibiotic resistance. If after completing the prescribed course of antibiotics you still notice significant swelling or other symptoms, it would be prudent to follow up with your healthcare provider for further evaluation. They may consider extending your antibiotic treatment or exploring other underlying causes for the persistent inflammation.

As for your concern about the potential negative effects of taking antibiotics for more than three days, it is important to note that antibiotics can have side effects, but these vary depending on the specific medication and the individual. Common side effects can include gastrointestinal disturbances, allergic reactions, and alterations in the normal flora of the gut, which can lead to issues like diarrhea or yeast infections. However, when antibiotics are used appropriately and for the right duration, the benefits often outweigh the risks. It is crucial to follow your doctor's instructions regarding dosage and duration to minimize any potential adverse effects.

In summary, continue taking your medications as prescribed, and monitor your symptoms closely. If the swelling does not resolve after completing the course of antibiotics, or if you experience any new or worsening symptoms, do not hesitate to reach out to your healthcare provider for further guidance. They may recommend additional treatments or investigations to ensure that your folliculitis is effectively managed. Remember, patience is key in the recovery process, as inflammation can take time to fully resolve.

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