Mild Swelling and Pain in the Labia: Causes and Concerns

One side of the labia majora has mild redness, swelling, and tenderness?

Recently, I just finished my menstrual period, and I am experiencing a slight pain on one side of my labia majora, which appears a bit red and swollen.
I have no experience with sexual intercourse or masturbation.
I would like to know what kind of condition this might be.

Jiang Zui, 10~19 year old female. Ask Date: 2021/05/27

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear Jiang Zui,
It is most likely folliculitis of the perineal skin, which can sometimes be caused by habits such as wearing tight pants or using sanitary pads or panty liners.
However, it is recommended to consult a gynecologist for an accurate diagnosis after a direct examination by the physician.

Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2021/05/27

More Info

Mild swelling and pain in the labia can be concerning, especially if you are experiencing these symptoms shortly after your menstrual period. While I cannot provide a definitive diagnosis without a physical examination, I can offer some potential causes and considerations based on common medical knowledge.

1. Hormonal Changes: After menstruation, hormonal fluctuations can lead to temporary changes in the vaginal and labial tissues. This can cause mild swelling and sensitivity. The menstrual cycle involves varying levels of estrogen and progesterone, which can affect the tissues in the genital area.

2. Infection: One of the most common causes of labial swelling and pain is an infection. This could be a yeast infection, bacterial vaginosis, or a sexually transmitted infection (STI). Even if you have not engaged in sexual activity, infections can occur due to other factors such as changes in hygiene, antibiotic use, or even hormonal changes that disrupt the normal flora of the vagina.

3. Allergic Reaction or Irritation: Sometimes, irritation from soaps, detergents, or personal care products can cause localized swelling and pain. If you have recently changed any products you use in the genital area, consider whether this could be a factor.

4. Cysts or Abscesses: Bartholin's gland cysts or other types of cysts can develop in the labial area and may cause swelling and discomfort. These are generally benign but can become painful if they become infected.

5. Dermatological Conditions: Conditions such as lichen sclerosus or vulvodynia can cause pain and swelling in the labial area. These conditions may require a dermatologist or gynecologist for proper diagnosis and treatment.

6. Trauma or Injury: Even minor trauma, such as from tight clothing or vigorous exercise, can lead to localized swelling and pain.
Given your symptoms, it is essential to monitor the situation. If the swelling and pain persist, worsen, or are accompanied by other symptoms such as fever, unusual discharge, or significant discomfort, it is advisable to seek medical attention. A healthcare provider can perform a physical examination, possibly conduct tests, and provide a more accurate diagnosis.

In the meantime, here are some general recommendations:
- Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that could irritate the skin.

- Avoid Irritants: If you suspect that a product may be causing irritation, discontinue its use.

- Warm Compress: Applying a warm compress to the area may help alleviate discomfort.

- Pain Relief: Over-the-counter pain relief medications can help manage discomfort if needed.

In conclusion, while mild swelling and pain in the labia can be caused by various factors, it is essential to consider your overall health and any accompanying symptoms. If you have concerns, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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