Labial Sebaceous Cysts: Causes, Treatments, and Relief

Labial sebaceous gland cyst

Hello Doctor, I am 24 years old and have never had sexual intercourse.
After my period ended in mid-October, I noticed a few painful, pimple-like bumps on my right labia minora.
I visited a clinic and was diagnosed with sebaceous cysts.
After taking antibiotics for five days, the bumps grew larger, so I returned to the doctor who drained them and prescribed another three days of antibiotics.
However, I continued to develop more bumps in other areas of my labia.
I sought a second opinion, and the doctor also diagnosed me with sebaceous cysts and prescribed a different medication, but I haven't noticed significant improvement.
There are still several bumps in my genital area, but the doctor said I was almost healed and that I could stop the treatment after finishing the course.
After my period this month, I started experiencing occasional pain again, and today I noticed one of the bumps has become slightly larger.
Is there any method to help eliminate them? The antibiotics don't seem to help at all.
Will they disappear on their own? Is using Meikang ointment effective? (The second doctor prescribed Meikang for me but said it was just an adjunct treatment.) Thank you, Doctor.

Teresawu, 20~29 year old female. Ask Date: 2021/11/30

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, in addition to following your physician's advice, it is recommended to maintain cleanliness and dryness in the perineal area, avoid tight clothing, minimize the use of panty liners, ensure adequate sleep, consume a light diet, and avoid stress and prolonged sitting.
You may also soak in a bath to alleviate symptoms.
If symptoms persist, please consult your physician for further evaluation.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2021/11/30

More Info

Labial sebaceous cysts, also known as epidermoid cysts or sebaceous gland cysts, are common benign growths that can occur in various areas of the body, including the labia. These cysts are typically filled with a thick, yellowish substance called sebum, which is produced by sebaceous glands. They can appear as small, round bumps on the skin and may become painful or inflamed, especially if they become infected.

Causes of Labial Sebaceous Cysts
The exact cause of sebaceous cysts is not always clear, but several factors may contribute to their development:
1. Blocked Sebaceous Glands: When the ducts of sebaceous glands become blocked, sebum can accumulate, leading to the formation of a cyst.

2. Skin Trauma: Previous injuries or irritation to the skin can trigger cyst formation.

3. Genetic Factors: Some individuals may have a genetic predisposition to developing cysts.

4. Hormonal Changes: Hormonal fluctuations, such as those that occur during the menstrual cycle, can also influence the development of these cysts.

Symptoms
Labial sebaceous cysts may present with the following symptoms:
- Small, round bumps on the labia
- Pain or tenderness, especially if the cyst is inflamed or infected
- Redness or swelling around the cyst
- Discomfort during activities such as walking or sexual intercourse

Treatment Options
1. Observation: If the cyst is not causing significant discomfort or complications, a "watch and wait" approach may be appropriate. Many cysts can resolve on their own without treatment.

2. Antibiotics: If there is evidence of infection, antibiotics may be prescribed. However, as you mentioned, antibiotics may not always be effective in resolving the cyst itself.

3. Incision and Drainage: If the cyst becomes painful or infected, a healthcare provider may perform a minor surgical procedure to drain the cyst. This can provide immediate relief from pain and pressure.

4. Surgical Excision: For recurrent or bothersome cysts, surgical removal may be recommended. This involves excising the cyst and its capsule to prevent recurrence.

5. Topical Treatments: While topical treatments like Meizitang (美康) ointment may provide some relief, they are generally considered adjunctive therapies and may not address the underlying cyst.

Self-Care and Management
- Warm Compresses: Applying warm compresses to the area can help reduce inflammation and promote drainage if the cyst is inflamed.

- Avoid Picking or Squeezing: It is essential to avoid squeezing or picking at the cyst, as this can lead to infection and complications.

- Maintain Hygiene: Keeping the area clean and dry can help prevent irritation and infection.

When to Seek Medical Attention
If you notice any of the following, it is essential to consult a healthcare provider:
- Increased pain or swelling
- Signs of infection, such as fever or pus drainage
- Recurrence of cysts after treatment
- Any changes in the appearance of the cysts

Conclusion
Labial sebaceous cysts can be bothersome, especially if they cause pain or discomfort. While they may resolve on their own, persistent or recurrent cysts may require medical intervention. It is essential to work closely with a healthcare provider to determine the best course of action based on your specific situation. If you feel that your current treatment is not effective, consider discussing alternative options or seeking a second opinion from a specialist in dermatology or gynecology.

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