Vulvar Folliculitis: When to Seek Further Medical Advice - Obstetrics and Gynecology

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Vulvar folliculitis is an inflammation of the hair follicles in the vulvar area, often caused by bacterial infection, irritation, or blockage of the hair follicles. It can present as painful bumps or pustules, which may become swollen and tender, as you've described. Given your situation, it’s important to address your concerns and provide guidance on when to seek further medical advice.

Firstly, it’s crucial to understand that while some cases of folliculitis can resolve on their own, others may require medical intervention, especially if symptoms worsen or do not improve. Since you mentioned that the bump has become increasingly painful and swollen, it is advisable to seek further medical attention. Pain that interferes with daily activities, such as walking or sitting, is a sign that the condition may be worsening or that there could be a secondary infection.

Regarding your question about whether to change doctors or return for a follow-up, it’s generally best to communicate your current symptoms to your original healthcare provider first. They are familiar with your case and can provide continuity of care. If you feel that your concerns are not being adequately addressed, or if you are not receiving the treatment you believe is necessary, then seeking a second opinion from another healthcare provider may be warranted.

In terms of treatment, while some individuals may find relief from topical antibiotics or anti-inflammatory medications, it’s essential to have a healthcare professional assess the situation. Over-the-counter treatments, such as hydrocortisone cream, may help reduce inflammation, but they should not replace professional medical advice. As for using Meikang cream (美康乳膏), it’s important to consult your doctor before applying any new topical treatment, as it may not be suitable for your specific condition.

If your symptoms include fever, increased redness, or pus drainage, these could indicate a more serious infection that requires systemic antibiotics. In such cases, it’s critical to seek medical attention promptly. Additionally, if you experience any signs of systemic infection, such as chills or malaise, do not hesitate to go to the emergency room.

In summary, given the increased pain and swelling you are experiencing, it is advisable to return to your healthcare provider for further evaluation and possible treatment. Open communication about your symptoms and concerns is key to receiving appropriate care. If you feel that your needs are not being met, consider seeking a second opinion. Remember, timely intervention can prevent complications and promote faster healing.