Vaginal Infections: What to Do About New Symptoms - Obstetrics and Gynecology

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Vaginal infection issues?


Hello doctor, I have already seen a gynecologist and am currently taking antibiotics, antifungal medication, and applying an ointment for what seems to be a Candida infection.
However, yesterday while applying the ointment, I noticed a black bump next to the vaginal opening that is a bit painful to touch.
I'm certain it's not a mole, as I didn't see it before, and the doctor didn't seem to notice it during the internal examination.
It just appeared suddenly.
I would like to know if this could also be caused by inflammation?

Ms. Hsieh, 20~29 year old female. Ask Date: 2023/04/19

Dr. Lin Manying reply Obstetrics and Gynecology


Hello Ms.
Hsieh: It could be folliculitis.
If the condition persists after the treatment for candidiasis, it is recommended to seek medical attention.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2023/04/19

More Info


When it comes to vaginal infections and the emergence of new symptoms, such as the appearance of a painful black bump near the vaginal opening, it is essential to approach the situation with caution and seek medical advice. Based on the information provided, it seems you are already under treatment for a Candida infection (commonly known as a yeast infection) with antibiotics and antifungal medications. However, the sudden appearance of a new symptom can be concerning and warrants further investigation.

Firstly, the black bump you described could be a variety of things. It might be a sebaceous cyst, a follicular cyst, or even a benign growth such as a wart or a mole. In some cases, it could also be related to inflammation or irritation in the area, especially if you have been experiencing other symptoms related to a yeast infection. Inflammation can sometimes lead to the formation of small bumps or lesions, but the fact that it is painful and has appeared suddenly should not be overlooked.

It is crucial to communicate these new symptoms to your healthcare provider. They may want to perform a thorough examination, including a visual inspection and possibly a biopsy if there is any suspicion of a more serious condition. It is also important to note that while yeast infections are common and usually not serious, they can sometimes lead to secondary infections or complications if not treated properly.

In terms of treatment, if the bump is indeed related to inflammation or irritation, your doctor may recommend topical treatments or adjustments to your current medication regimen. If it is determined to be a cyst or another benign growth, treatment options may vary depending on its size and symptoms. In some cases, monitoring the bump may be sufficient, while in others, removal might be recommended.

Additionally, it is essential to maintain good hygiene practices and avoid irritants such as scented soaps, douches, or tight-fitting clothing that can exacerbate symptoms. Keeping the area dry and clean can help prevent further irritation and promote healing.

Lastly, if you are experiencing any other symptoms such as fever, increased pain, or unusual discharge, it is vital to seek medical attention promptly. These could be signs of a more serious infection that requires immediate treatment.

In summary, while the appearance of a new symptom during treatment for a vaginal infection can be alarming, it is essential to consult with your healthcare provider for a proper evaluation. They will be able to determine the cause of the bump and recommend appropriate treatment to ensure your health and well-being. Remember, open communication with your healthcare provider is key to managing any health concerns effectively.

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