Swelling and Pain in the Labia: Causes and Concerns - Urology

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Labial swelling


Hello, doctor.
I would like to ask you a question! Today I suddenly noticed a lump on my right labium, with a small red dot on it, and it hurts when I press on it.
Can you tell me what this might be?

Xiao Bi, 20~29 year old female. Ask Date: 2004/08/08

Dr. Zhang Chengye reply Urology


Hello, Xiao Bi: The protrusion you mentioned may be Bartholin's gland inflammation.
It is recommended that you visit a gynecology clinic for a detailed diagnosis by a gynecologist.
Sincerely, Dr.
Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/08/08

More Info


Swelling and pain in the labia can be concerning and may arise from various causes. It’s essential to understand the potential reasons behind these symptoms to determine the appropriate course of action.
Firstly, the presence of a lump on the labia, especially if it is painful and has a red spot, could indicate several conditions. One common cause is a bartholinitis, which occurs when the Bartholin glands, located at the opening of the vagina, become blocked or infected. This can lead to the formation of a cyst or an abscess, resulting in swelling and pain. If the lump is tender and red, it may suggest an infection.

Another possibility is a folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles, leading to painful bumps. Additionally, herpes simplex virus (HSV) can cause painful blisters or sores in the genital area, which may start as small red spots that become painful.

Contact dermatitis is another potential cause, which can result from irritation or an allergic reaction to products such as soaps, lotions, or even fabrics. This condition can lead to redness, swelling, and discomfort in the affected area.

In some cases, the swelling and pain could be related to sexually transmitted infections (STIs), such as gonorrhea or chlamydia, which can cause inflammation and discomfort in the genital area. It is crucial to consider recent sexual activity and any other symptoms that may accompany the swelling, such as unusual discharge or fever.

Given the variety of potential causes, it is essential to seek medical attention, especially if the symptoms persist or worsen. A healthcare provider can perform a physical examination, take a detailed medical history, and possibly conduct tests to determine the underlying cause of the swelling and pain.
In the meantime, here are some general recommendations to alleviate discomfort:
1. Avoid Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the area.

2. Warm Compress: Applying a warm compress to the affected area can help reduce swelling and relieve pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

4. Hygiene: Maintain good hygiene by gently washing the area with mild soap and water, and ensure it is thoroughly dried afterward.

In conclusion, while there are several potential causes for swelling and pain in the labia, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure proper care.

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