Vulvar Epidermoid Cysts: Treatment Insights and Concerns

Q: Vulvar Epidermoid Cysts: Treatment Insights and Concerns

Hello, the inquirer： Due to the inability to assess the actual situation based on your description, the physician cannot provide a diagnosis or treatment without a personal examination. <br>It is advisable to consult the treating physician for more appropriate guidance. <br>Thank

Epidermoid cyst of the genital region

Hello, doctor.
The situation is as follows: I have developed several small "bumps" between the labia majora and labia minora, and even on the clitoris.
They are not painful or itchy, but I am somewhat concerned.
After consulting with a doctor, I underwent a CO2 fractional laser treatment.
He mentioned that one session would be sufficient, but a month later, the bumps have not disappeared.
In fact, one bump on the clitoris has disappeared but left a small indentation, and two more have appeared (symmetrically like dice).
Upon my follow-up visit, the doctor advised me to give my body more time to improve, stating that results are not immediate and are related to my constitution and lifestyle, so there is nothing that can be done.
He suggested that if I am really concerned, I could undergo additional treatments.
As for the clitoral acne and the indentation, he told me not to worry too much, as they do not affect anything.
If they are not painful or itchy, or if I had known beforehand that multiple treatments would be costly, I would not have proceeded.
I would like to ask the doctor: 1.
Is it true that it takes time to see the effects of the treatment? How long should it take? Or is this treatment more for maintenance rather than a cure, meaning it may not completely resolve the issue? 2.
Is the doctor obligated to address the indentation on the clitoris, or am I just being overly concerned? 3.
Will the presence of this bump above the clitoris cause discomfort during clitoral stimulation? 4.
Aside from pain and swelling, is it really unnecessary to spend money on treatment for this condition? There seems to be very little information about this condition online, and I hope this can serve as a reference for other patients.
Thank you, doctor.

A10480, 20~29 year old female. Ask Date: 2017/03/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the inquirer: Due to the inability to assess the actual situation based on your description, the physician cannot provide a diagnosis or treatment without a personal examination.
It is advisable to consult the treating physician for more appropriate guidance.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2017/03/14

More Info

Vulvar epidermoid cysts are benign growths that can occur in the vulvar area, including the labia and clitoris. They are typically painless and may not cause any symptoms, which can lead to concerns about their appearance rather than their health implications. Here’s a comprehensive overview of the treatment insights and concerns regarding vulvar epidermoid cysts.

1. Understanding Treatment Efficacy: The treatment for epidermoid cysts often involves procedures like CO2 laser therapy, which can help reduce their size or remove them. However, it is important to understand that results may not be immediate. Healing and the full effect of the treatment can take time, sometimes several weeks to months. The body needs time to respond to the treatment, and factors such as individual healing rates, skin type, and overall health can influence this. If the cysts do not disappear after a month, it may be advisable to follow up with your healthcare provider to discuss further treatment options or additional sessions.

2. Concerns About Scarring: The presence of a depression or "dimple" where a cyst was removed can be a common outcome of any surgical procedure, including laser treatments. While it is understandable to be concerned about the appearance of the skin, it is essential to recognize that some degree of scarring can occur. If the depression is significant or bothersome, discussing options for scar revision or further treatment with your physician may be warranted. However, it is also important to manage expectations, as complete restoration of the skin's appearance may not always be possible.

3. Impact on Sensation: Regarding the concern about the cysts on the clitoris and whether they could cause discomfort during arousal, it is generally unlikely that benign cysts would interfere with sexual function or cause pain unless they become inflamed or infected. If you experience discomfort during sexual activity, it would be prudent to consult with your healthcare provider to rule out any complications or to discuss potential treatment options.

4. Treatment Necessity: The decision to treat epidermoid cysts often depends on personal preference and the impact on quality of life. If the cysts are asymptomatic and do not cause any discomfort or functional issues, some individuals may choose to leave them untreated. However, if their appearance is distressing or if they cause anxiety, seeking treatment may be beneficial. It is essential to have an open dialogue with your healthcare provider about your concerns and the potential benefits and risks of treatment.

In summary, while vulvar epidermoid cysts are generally benign and may not require treatment, options are available for those who wish to address their appearance. The effectiveness of treatments like CO2 laser therapy can vary, and patience is often required to see results. If you have concerns about scarring or the impact of cysts on sexual function, discussing these with your healthcare provider can help you make informed decisions about your care. Always remember that individual experiences can vary, and what works for one person may not be the same for another.

Similar Q&A

Understanding Epidermoid Cysts: Treatment Options and Expert Opinions

Hello, doctor. I would like to ask about the condition known as an epidermoid cyst, or sebaceous cyst. About six months to a year ago, I discovered a lump on the inner side of my right breast but did not pay much attention to it. Until six months ago, white fluid started to ooze ...

Dr. Lai Jihong reply Surgery
Regarding epidermoid cysts, also known as sebaceous cysts, it is advisable based on the experience of surgeons to undergo surgical removal as soon as possible. Do not wait until an infection occurs, as it will complicate the management (requiring debridement, dressing changes, an...

Understanding the Factors Behind Recurring Epidermoid Cysts

Hello, I would like to ask about my husband. He has been developing sebaceous cysts near his ears. He had a minor surgery to remove two cysts six months ago, and now he has two more. What medications should be used for treatment? Is there any method to change his constitution? Wi...

Dr. Wu Yuxin reply Dermatology
It is truly just a matter of individual constitution, and there are no medications or other methods to improve or prevent it. But don't worry, it will not affect overall health.

Understanding Persistent Genital Warts: Treatment Challenges and Options

Hello doctor, I underwent laser surgery for a sebaceous cyst on February 16. On March 15, I visited the clinic due to discomfort in the vulva, and the doctor diagnosed me with herpes. On April 10, while examining the wound in the mirror, I noticed small growths in the vulva, whic...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Hello doctor, I underwent laser surgery for a sebaceous cyst on February 16. On March 15, I experienced discomfort in the vulva and saw a doctor who diagnosed me with herpes. On April 10, while examining the wound in the mirror, I noticed small growths in the vulva, which were la...

Struggling with Recurring Lipomas: Seeking Solutions for Persistent Skin Issues

Hello Doctor: I am someone who has been suffering from a sebaceous cyst! About four years ago, a large cyst suddenly appeared on my buttocks, and it often burst, causing significant bleeding. Approximately three years ago, I visited a general clinic's dermatologist, who diag...

Dr. Lin Xinpeng reply Dermatology
Hello: A sebaceous cyst, also known as an epidermoid cyst, occurs when the opening becomes partially obstructed, leading to the formation of a tumor from the follicular epithelium. If you have previously had it excised but it has recurred, it indicates that there may still be res...