Ulcers on the Labia: Symptoms and When to Seek Help - Obstetrics and Gynecology

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There is an ulcer on the labia minora?


Hello, Doctor.
On Thursday morning, June 27th, after using the restroom, I noticed some stinging in my labia but didn't pay much attention to it.
On Friday, June 28th, after taking a shower, I opened my labia and discovered an ulcer on the inner side of my labia minora, close to the urethral opening.
It looks similar to an oral ulcer and only causes slight stinging and itching.
I'm not sure if it's an inflammatory ulcer.
As of today, just sitting causes pain, and I also started experiencing pain during urination.
I originally planned to see a gynecologist on Monday, but my menstrual period started on Saturday.
I'm unsure if I can still see a gynecologist under these circumstances.
Is it sufficient to describe my symptoms verbally? I have no sexual experience and have not had any symptoms of fever or fatigue in the past few days.
Thank you for your help.

Niming, 20~29 year old female. Ask Date: 2019/06/30

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On Thursday morning, June 27, after using the restroom and drying myself, I noticed some stinging in my labia, but I didn't pay much attention to it.
On Friday, June 28, after taking a shower, I opened my labia and discovered an ulcer on the inner side of the labia minora, close to the urethral opening.
It looks similar to an oral ulcer and only causes slight stinging and itching.
I'm not sure if it's an inflammatory ulcer.

I need to go to the hospital for an examination.
As of today, just sitting down causes pain, and urination has started to hurt as well.
I originally planned to see a gynecologist on Monday, but my menstrual period started on Saturday.
I'm unsure if I can still see a gynecologist under these circumstances.
Can I just describe my symptoms verbally?
Yes, you can still see a gynecologist.

PS: I have no sexual experience, and I haven't had any symptoms of fever or fatigue in the past few days.

Reply Date: 2019/06/30

More Info


When it comes to understanding ulcers on the labia, it's important to recognize the symptoms and know when to seek medical help. Based on your description, it sounds like you are experiencing a painful ulcer on the inner labia, which has been causing discomfort, particularly during sitting and urination.
Ulcers in the genital area can arise from various causes, including infections, inflammatory conditions, or even trauma. Given that you mentioned the ulcer resembles an oral ulcer and is accompanied by mild pain and itching, it could potentially be a form of mucosal ulceration, possibly related to a viral infection such as herpes simplex virus (HSV), or it could be due to a non-infectious cause like an inflammatory condition or irritation.

The fact that you are experiencing pain during urination and discomfort while sitting suggests that the ulcer may be inflamed or infected, which warrants further evaluation. It is also noteworthy that you have not had any sexual experiences, which may help narrow down some potential causes, but it does not completely rule out sexually transmitted infections (STIs) or other infectious processes.

Regarding your menstrual cycle, it is still advisable to see a gynecologist even if you are menstruating. Menstrual bleeding may complicate the examination slightly, but it should not prevent a healthcare provider from assessing your condition. You can certainly describe your symptoms verbally, and the doctor will likely perform a physical examination to better understand the ulcer's characteristics and determine the appropriate course of action.

In terms of management, it is crucial to avoid self-diagnosing or treating the ulcer without professional guidance. Over-the-counter topical treatments or home remedies may not be effective and could potentially worsen the condition. If the ulcer is due to an infection, appropriate antiviral or antibiotic therapy may be necessary. If it is inflammatory, your doctor may recommend topical corticosteroids or other anti-inflammatory medications.

In summary, you should seek medical attention as soon as possible. A gynecologist can provide a thorough examination, possibly perform tests to identify the underlying cause of the ulcer, and recommend the best treatment options. Early intervention is key to preventing complications and ensuring a swift recovery. Remember to communicate all your symptoms clearly, including the onset, duration, and any changes in pain or discomfort, as this information will be vital for your healthcare provider in making an accurate diagnosis.

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