Vulvar Pimples: Causes and When to See a Gynecologist - Obstetrics and Gynecology

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Acne issues


The vulva (likely referring to the labia majora) frequently develops bumps that sometimes start small and can grow larger, causing difficulty walking.
They may rupture, leading to discharge of pus or blood.
What could be the cause? Should I consult a gynecologist for treatment, or is it just a matter of my constitution? When the bumps enlarge, I can also feel similar swollen areas (possibly lymph nodes?) at the junction of my thighs and lower abdomen (inguinal region), which are painful.
However, once the lesions heal, the issues in the inguinal region also resolve.

Meizi, 30~39 year old female. Ask Date: 2006/10/17

Dr. Xu Junzheng reply Obstetrics and Gynecology


It is advisable to consult a gynecologist for diagnosis and treatment.
Thank you!

Reply Date: 2006/10/17

More Info


Vulvar pimples, or bumps on the vulva, can be a source of discomfort and concern for many individuals. Understanding the potential causes of these bumps and when to seek medical attention is crucial for maintaining reproductive health.


Causes of Vulvar Pimples
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria, fungi, or irritation. It can lead to small, red bumps that may resemble pimples. Folliculitis can occur due to shaving, waxing, or wearing tight clothing that irritates the skin.

2. Cysts: Sebaceous cysts, which are non-cancerous lumps filled with fluid or semi-solid material, can develop in the vulvar area. These cysts can become inflamed or infected, leading to pain and discharge.

3. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They may be itchy or uncomfortable and can sometimes bleed.

4. Herpes Simplex Virus: Genital herpes can cause painful blisters or sores in the genital area. These lesions can rupture, leading to painful ulcers that may ooze or bleed.

5. Lichen Sclerosus: This is a chronic skin condition that can cause white patches and bumps on the vulva, leading to itching and discomfort. It can also cause scarring and changes in the skin.

6. Contact Dermatitis: Allergic reactions to soaps, lotions, or other products can lead to irritation and the formation of bumps on the vulva.

7. Infections: Bacterial or yeast infections can cause inflammation and bumps in the vulvar area. These infections may also be accompanied by unusual discharge, itching, or odor.


When to See a Gynecologist
It is essential to consult a gynecologist if you experience any of the following symptoms:
- Persistent or Worsening Symptoms: If the bumps do not improve or worsen over time, it is crucial to seek medical advice.

- Severe Pain or Discomfort: If the bumps cause significant pain, especially when walking or sitting, medical evaluation is necessary.

- Discharge: If the bumps are accompanied by pus, blood, or an unusual odor, this could indicate an infection that requires treatment.

- Changes in Skin Color or Texture: Any sudden changes in the appearance of the vulvar skin, such as discoloration or scaling, should be evaluated by a healthcare professional.

- Systemic Symptoms: If you experience fever, chills, or other systemic symptoms along with vulvar bumps, this could indicate a more serious infection.


Conclusion
While vulvar pimples can sometimes be benign and related to common skin issues, they can also indicate underlying conditions that require medical attention. It is essential to monitor your symptoms and seek the advice of a gynecologist if you have concerns. Early diagnosis and treatment can help prevent complications and ensure your reproductive health remains optimal. Remember, your health is paramount, and addressing any unusual changes in your body is always a wise decision.

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Related FAQ

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Folliculitis

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