Recurring Pain and Swelling in the Labia: Causes and Solutions

There is a red, swollen, and painful lesion in the genital area?

I haven't experienced this before, but for the past six months, I've been having pain and swelling on one side of my labia almost every month.
It gradually resolves on its own, but then it comes back the following month.
What could be the cause? Is it an infection, or could it be due to vaginal dryness? What can I do to prevent this from happening every month?

Maggie, 40~49 year old female. Ask Date: 2021/05/01

Dr. Wu Xianghui reply Obstetrics and Gynecology

Vaginal infections can cause abnormal discharge, itching, swelling, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women.
The causes are varied, and treatment methods should be accompanied by comprehensive health education.
It is recommended to consult a gynecologist for evaluation in an outpatient setting.

Reply Date: 2021/05/01

More Info

Recurring pain and swelling in the labia can be concerning and uncomfortable. Based on your description, it seems that you are experiencing these symptoms on a monthly basis, which could be indicative of several underlying issues. Let's explore some potential causes and solutions.

Possible Causes
1. Infections: One of the most common reasons for labial pain and swelling is an infection. This could be a yeast infection, bacterial vaginosis, or a sexually transmitted infection (STI). These infections can cause inflammation, redness, and discomfort in the genital area.

2. Hormonal Changes: Fluctuations in hormone levels, particularly during the menstrual cycle, can lead to changes in vaginal moisture and tissue sensitivity. This can result in discomfort or pain in the labia, especially if the vaginal environment becomes less moist.

3. Allergic Reactions or Irritants: Sometimes, the use of certain soaps, detergents, or personal hygiene products can cause allergic reactions or irritation, leading to swelling and pain. It's important to consider any new products you may have introduced into your routine.

4. Skin Conditions: Conditions such as eczema or lichen sclerosus can affect the genital area and lead to symptoms like pain and swelling. These conditions may require specific treatments from a healthcare provider.

5. Vulvodynia: This is a chronic pain condition affecting the vulvar area, which can cause discomfort without an identifiable cause. It may be worth discussing this possibility with a healthcare provider if other causes are ruled out.

Solutions and Recommendations
1. Consult a Healthcare Provider: Since your symptoms are recurring, it is essential to consult a healthcare provider, preferably a gynecologist. They can conduct a thorough examination, possibly including swabs or cultures, to identify any infections or conditions.

2. Maintain Vaginal Health: To promote vaginal health, consider using mild, unscented soaps for washing the genital area. Avoid douching or using harsh products that can disrupt the natural flora.

3. Moisturizers and Lubricants: If dryness is a contributing factor, using vaginal moisturizers or lubricants can help alleviate discomfort. These products can provide relief during sexual activity and daily life.

4. Avoid Irritants: Pay attention to any products that may be causing irritation. This includes soaps, laundry detergents, and even certain fabrics. Opt for breathable cotton underwear and avoid tight-fitting clothing.

5. Track Symptoms: Keeping a diary of your symptoms, including when they occur and any potential triggers, can help you and your healthcare provider identify patterns and potential causes.

6. Consider Hormonal Treatments: If hormonal changes are suspected to be a factor, discussing options such as hormonal therapy with your healthcare provider may be beneficial.

7. Lifestyle Changes: Stress management techniques, a balanced diet, and regular exercise can also contribute to overall health and may help reduce the frequency of symptoms.

In conclusion, while there are several potential causes for the recurring pain and swelling in your labia, it is crucial to seek professional medical advice to determine the exact cause and appropriate treatment. Early intervention can lead to better management of your symptoms and improve your quality of life.

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