Pain and Swelling in the Labia: Causes and Solutions

The entire labia is red, swollen, and painful?

In the past few days, a small area on my left labia minora suddenly became painful, and within a few days, it swelled up significantly, becoming twice the size of the surrounding area.
It is very painful when I apply pressure.
My menstrual period ended a long time ago, and I have not had any sexual experience.
What could this be?

Cangshu, 10~19 year old female. Ask Date: 2022/06/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, a diagnosis cannot be determined.
It is recommended to maintain cleanliness and dryness in the perineal area, avoid tight clothing, limit the use of panty liners, ensure adequate sleep, consume a light diet, and avoid stress and prolonged sitting.
If symptoms persist or worsen, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/06/19

More Info

Understanding pain and swelling in the labia can be concerning, especially when it occurs suddenly and is accompanied by significant discomfort. There are several potential causes for these symptoms, and it is essential to consider them carefully to determine the best course of action.

Possible Causes
1. Infection: One of the most common causes of swelling and pain in the labia is an infection. This could be a yeast infection, bacterial vaginosis, or a sexually transmitted infection (STI) such as herpes or gonorrhea. Even if you have not had sexual experiences, infections can occur due to other factors, such as changes in hygiene, hormonal fluctuations, or even irritation from products like soaps or lotions.

2. Cysts: Bartholin's cysts can develop when the glands that lubricate the vagina become blocked. These cysts can become painful and swollen, especially if they become infected.

3. Allergic Reactions or Irritation: Sometimes, the skin in the genital area can react to certain products, such as soaps, detergents, or even toilet paper. This irritation can lead to swelling and discomfort.

4. Trauma or Injury: Any recent trauma or injury to the area, even if minor, can lead to localized swelling and pain. This could be from activities such as vigorous exercise or even an accident.

5. Dermatological Conditions: Conditions such as lichen sclerosus or lichen planus can cause changes in the skin of the labia, leading to pain and swelling. These conditions may require specific treatments.

Recommended Actions
1. Consult a Healthcare Provider: Given the symptoms you are experiencing, it is crucial to consult a healthcare provider, preferably a gynecologist. They can perform a physical examination and may recommend tests to determine the underlying cause of your symptoms.

2. Avoid Irritants: In the meantime, avoid using any potential irritants, such as scented soaps, lotions, or feminine hygiene products. Stick to mild, unscented products to minimize irritation.

3. Warm Compresses: Applying a warm compress to the affected area may help reduce pain and swelling. This can provide some comfort until you can see a healthcare provider.

4. Over-the-Counter Pain Relief: If the pain is significant, over-the-counter pain relief medications such as ibuprofen or acetaminophen may help alleviate discomfort. However, be sure to follow the recommended dosages.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased swelling, changes in color, or the development of discharge. This information can be helpful for your healthcare provider.

Conclusion
While it can be alarming to experience sudden pain and swelling in the labia, understanding the potential causes can help you take appropriate action. It is essential to seek medical advice to ensure proper diagnosis and treatment. Early intervention can prevent complications and provide relief from discomfort. Remember, your health is paramount, and addressing these symptoms with a healthcare professional is the best course of action.

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