Folliculitis Recovery: What to Expect and How to Heal

Folliculitis recovery issues?

A few days ago, I noticed a swollen lump on my labia minora, and then the entire labia became swollen, approximately three centimeters in size.
Yesterday, I visited a doctor who diagnosed it as folliculitis and used a needle to drain the pus.
After draining, the doctor also helped to squeeze it.
However, even today, it is still swollen and somewhat painful to touch.
How long does it usually take for the swelling to subside after drainage and squeezing? What can I do to help reduce the swelling? Since only a needle was used for drainage, I am concerned that the opening is too small and there may still be pus trapped inside.
How can I determine if there is still pus inside or if it just hasn't fully healed yet?

Weeeer, 30~39 year old female. Ask Date: 2021/10/15

Dr. Wu Xianghui reply Obstetrics and Gynecology

Avoid excessive cleaning; topical antibiotic ointments can be used as needed to prevent infection.

Reply Date: 2021/10/15

More Info

Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, irritation, or blockage. In your case, it seems that you have developed a significant folliculitis on the labia, which has resulted in swelling and pain. After the doctor drained the pus and attempted to express the contents, it is understandable that you are concerned about the recovery process and the timeline for resolution.

Typically, after a drainage procedure for folliculitis, you can expect some degree of swelling and tenderness to persist for a few days. The duration of swelling can vary depending on several factors, including the severity of the infection, the amount of pus that was present, and your body's healing response. Generally, you might see improvement within a week, but complete resolution can take longer, especially if there was a significant amount of pus or if the area remains irritated.

To aid in the healing process and reduce swelling, consider the following recommendations:
1. Warm Compresses: Applying warm compresses to the affected area can help promote drainage and reduce swelling. The heat increases blood flow to the area, which can facilitate healing.

2. Avoid Irritation: It’s crucial to avoid any irritants that could exacerbate the condition. This includes avoiding tight clothing, harsh soaps, or any products that could irritate the skin.

3. Hygiene: Maintain good hygiene in the area. Gently cleanse the area with mild soap and water, and ensure that it is kept dry. Moist environments can promote bacterial growth.

4. Topical Treatments: Depending on your doctor’s advice, you may consider using topical antibiotics or antiseptics to prevent further infection. Always follow your healthcare provider's recommendations regarding medications.

5. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort.

6. Monitor for Signs of Infection: Keep an eye on the area for any signs of worsening infection, such as increased redness, warmth, or discharge. If you notice these symptoms, or if the swelling does not improve after a few days, it is important to follow up with your healthcare provider.

Regarding your concern about whether there is still pus inside, it can be challenging to determine without further examination. If the swelling persists or if you experience increased pain, it may be necessary to have a follow-up appointment with your doctor. They may perform an ultrasound or another examination to assess the area for any residual abscess that may need further drainage.

In summary, while some swelling and discomfort are normal after a drainage procedure for folliculitis, you should see gradual improvement over the next week. If you have any concerns about your recovery or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, and timely intervention can prevent complications.

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