Itchy and Painful Labial Bumps After Dry Sex

The labia minora have developed bumps that are itchy and painful?

Hello doctor, because my school is in a remote area and there is no convenient transportation to the clinic, I would like to ask a question.
About 3 to 4 days ago, I had sexual intercourse, but it seemed to be too dry and lacked lubrication, which resulted in itching and a stinging sensation on my labia minora afterward.
It feels like dry skin itching; at first, I scratched it, and while scratching, there was some stinging pain.
Today, I noticed small bumps on my labia minora that hurt when touched.
It also stings when I wash with body wash.
Since I discovered the bumps, I have also experienced stinging pain when urinating.
Is it necessary for me to seek medical attention immediately?

Piao, 10~19 year old female. Ask Date: 2015/09/21

Dr. Lü Lizheng reply Obstetrics and Gynecology

The response may indicate folliculitis, which could potentially progress to cellulitis.
It is recommended to seek medical treatment.
Sincerely, Dr.
Lyu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/09/21

More Info

It sounds like you're experiencing some discomfort following sexual activity, particularly due to insufficient lubrication, which can lead to irritation and possibly even small bumps on the labia. This situation is not uncommon, especially when there is friction during intercourse without adequate moisture.
When the vaginal area is dry, it can lead to micro-tears in the skin, which may cause itching, burning, and pain. The small bumps you are noticing could be a result of irritation or inflammation due to the friction, or they could potentially be a sign of an infection, such as a yeast infection or bacterial vaginosis, especially if accompanied by other symptoms like unusual discharge or odor.

Here are some important points to consider:
1. Irritation vs. Infection: If the bumps are simply due to irritation from friction, they may resolve on their own with proper care. However, if you notice any unusual discharge, a strong odor, or if the pain persists or worsens, it could indicate an infection that requires medical attention.

2. Hygiene Practices: It's essential to maintain good hygiene in the genital area. However, be cautious with the products you use for cleaning. Using harsh soaps or body washes can further irritate the sensitive skin of the vulva. Instead, opt for mild, unscented soaps or just warm water.

3. Lubrication: For future sexual encounters, consider using a water-based or silicone-based lubricant to reduce friction and prevent irritation. This can significantly enhance comfort during intercourse and help avoid similar issues.

4. When to Seek Medical Attention: Given that you are experiencing pain during urination and the presence of bumps, it would be wise to consult a healthcare provider. While it may be inconvenient due to your location, a medical professional can provide a proper examination and determine if there is an underlying infection or other condition that needs treatment.

5. Potential Treatments: If it turns out to be an infection, your doctor may prescribe antifungal or antibacterial medications, depending on the diagnosis. If it is merely irritation, they may recommend topical treatments to soothe the area.

In conclusion, while it may be tempting to wait and see if the symptoms resolve on their own, the presence of pain during urination and the development of bumps are indicators that you should seek medical advice. It's important to address these symptoms promptly to ensure your health and comfort. If transportation is an issue, consider reaching out to local health services to see if they offer telehealth consultations, which can provide you with guidance without the need for travel.

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