Vulvar Issues: When to Seek Further Gynecological Care

Vulvar issues

About 2-3 months ago, I had folliculitis in the pubic area.
After visiting the gynecologist several times, it has shrunk and is no longer painful or itchy.
The doctor said that if there is no pain, it can heal on its own.
However, there are still some hard lumps that do not hurt.
After a few more visits to the gynecologist, I received the same advice: as long as there is no pain, itching, or swelling, I should not worry, and it will resolve itself.
Up to now, there have been changes; one feels smaller, while another is shrinking more slowly, but they still feel hard to the touch.
So, 1.
Is this considered normal? 2.
Do I still need to see a gynecologist?

Lü, 20~29 year old female. Ask Date: 2023/05/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be normal; just monitor it.
Wishing you good health.

Reply Date: 2023/05/12

More Info

When it comes to vulvar issues, particularly those involving hard lumps or bumps in the area, it's essential to approach the situation with both caution and awareness. Based on your description, it sounds like you've been dealing with a folliculitis issue that has improved over time, but you still have some residual hard lumps that are not causing pain or discomfort. Here’s a breakdown of your concerns and some guidance on when to seek further gynecological care.

1. Is this normal?
It is not uncommon for individuals to experience residual lumps or hardened areas after an episode of folliculitis. Folliculitis is an inflammation of the hair follicles, often caused by infection, irritation, or blockage. In many cases, once the inflammation subsides, some hardening or residual tissue may remain. This can be a normal part of the healing process. However, the key factors to consider are the size, shape, and any changes in the lumps. If they remain stable, are not painful, and do not show signs of infection (such as redness, warmth, or discharge), they may not be a cause for concern.

2. Should I see a gynecologist again?
If the lumps have not changed significantly in size or character and you are not experiencing any discomfort, it may not be necessary to seek further evaluation immediately. However, if you notice any changes—such as an increase in size, the development of pain, or any other new symptoms—it would be prudent to return to your gynecologist for further assessment. Additionally, if you have any concerns about the nature of the lumps or if they are causing you anxiety, it is always a good idea to consult with your healthcare provider for peace of mind.

Additional Considerations:
- Self-Examination: Continue to monitor the lumps for any changes. Regular self-examinations can help you become familiar with your body and recognize any new developments.

- Hygiene Practices: Maintain good hygiene in the vulvar area to prevent further irritation or infection. Avoid tight clothing and opt for breathable fabrics.

- Diet and Lifestyle: Sometimes, dietary changes and lifestyle adjustments can help reduce inflammation and improve overall skin health. Staying hydrated, eating a balanced diet rich in vitamins and minerals, and managing stress can contribute positively to your skin's condition.

- Follow-Up: If you have any doubts or if your symptoms change, don't hesitate to reach out to your gynecologist. They can provide reassurance and, if necessary, conduct further examinations or imaging studies to rule out any underlying issues.

In summary, while it sounds like your situation is improving, it's essential to remain vigilant. If you have any concerns or if the lumps change in any way, seeking further gynecological care is advisable. Your health and peace of mind are paramount, and your healthcare provider is there to support you in navigating these concerns.

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