Folliculitis: Symptoms, Treatment, and Recovery Time

Could you please provide more details about the issue related to folliculitis?

Initially, there was a hard lump on the labia minora that did not hurt or itch when not touched.
After visiting a dermatologist, the doctor prescribed oral antibiotics and Gentamicin cream.
However, after completing the medication and applying the cream, there was little improvement.
The lump felt unchanged, did not appear to be pus-filled, and remained the same skin color.
It was only slightly hard to the touch.
A few days ago, another lump appeared in the area of the vulva where hair grows (likely the labia majora).
Currently, I am applying Fucidin cream, and today I noticed it has become a bit white and feels larger, approximately slightly smaller than a one-dollar coin, with redness and swelling.
The white part in the center is painful when walking.
I would like to know how long it might take to heal.
How should I apply the Fucidin cream effectively? (I am currently in quarantine abroad and unable to see a doctor.) Thank you.

H, 20~29 year old female. Ask Date: 2020/08/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it could be inflammation causing acne.
Generally, once it matures, you can extract the pus, and it will gradually heal.
However, it is still advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2020/08/29

More Info

Folliculitis is an inflammation of the hair follicles, which can occur anywhere on the body where hair grows, including sensitive areas like the labia. The symptoms you describe, such as the hard bump that is not painful or itchy, are consistent with folliculitis. However, the development of a white area and increased size of the lesion suggests that there may be a secondary infection or a more severe inflammatory response.

The treatment for folliculitis often includes topical antibiotics, such as Gentamycin cream, and sometimes oral antibiotics if the condition is widespread or severe. Fucidin (fusidic acid) is another topical antibiotic that is effective against certain bacteria, particularly Staphylococcus aureus, which is a common cause of skin infections.
In terms of recovery time, it can vary significantly depending on the severity of the folliculitis and the individual's immune response. Generally, mild cases may resolve within a few days to a week with appropriate treatment. However, if the condition persists or worsens, it may take longer, and further medical evaluation may be necessary once you are able to see a healthcare provider.

When applying Fucidin cream, it is important to follow these steps for optimal results:
1. Clean the Area: Gently wash the affected area with mild soap and water. Pat it dry with a clean towel.

2. Apply the Cream: Use a clean finger or a cotton swab to apply a thin layer of Fucidin cream directly to the affected area. Make sure to cover the entire lesion, including the surrounding skin, to prevent the spread of infection.

3. Frequency: Typically, Fucidin cream is applied two to three times a day, but you should follow the instructions provided by your healthcare provider or the product label.

4. Avoid Irritation: Try to avoid tight clothing or activities that may cause friction in the area, as this can exacerbate the condition.

5. Monitor for Changes: Keep an eye on the lesion for any changes in size, color, or symptoms. If it continues to worsen or does not improve after a few days of treatment, it is crucial to seek medical attention as soon as possible.

In addition to topical treatments, maintaining good hygiene and avoiding shaving or waxing the area until it has healed can help prevent further irritation and recurrence of folliculitis.

If you are experiencing pain or discomfort, over-the-counter pain relief medications, such as acetaminophen or ibuprofen, may help alleviate symptoms. However, it is essential to consult with a healthcare provider for personalized advice, especially since you are currently in isolation and may have limited access to medical care.

In summary, folliculitis can be a frustrating condition, especially in sensitive areas. With appropriate treatment and care, most cases resolve without complications. However, if you notice persistent symptoms or worsening of the condition, it is important to seek medical advice as soon as you are able.

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