Common Vaginal Issues: Pimples and Menstrual Concerns

Genital issues

1.
Why do I keep getting pimples in my genital area? I often have one or two on my labia or near my pubic hair.
Should I apply acne medication? Is it because my genital area is too oily? How can I prevent these pimples from recurring?
2.
Regarding menstruation, are there any signs before it starts? I seem to have none, which is quite troubling.
I often notice blood and then realize my period has started.
Recently, in the days leading up to my period, I have been feeling a persistent urge to urinate without relief (my abdomen feels bloated), which makes it hard to eat.
Was it always like this, and I just didn't notice before? Is this normal? How much menstrual flow is considered normal each month?

Ni, 20~29 year old female. Ask Date: 2015/10/06

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
It is recommended to keep the perineal area well-ventilated and dry, avoid tight-fitting pants, reduce the intake of greasy foods, and ensure adequate sleep to minimize the risk of recurrence.

2.
You can use acne treatment ointments, which also have antibacterial effects, as a trial.

3.
The average menstrual blood volume is about 40 to 60 milliliters per month, which is approximately equivalent to using three to five sanitary pads per day.

4.
Abdominal bloating and discomfort before and after menstruation may not indicate any serious issues, but could also be due to blood accumulation in the uterus, possible inflammation, or uterine fibroids.
It is advisable to seek medical evaluation.

Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/06

More Info

Understanding common vaginal issues, such as pimples in the genital area and menstrual concerns, can be quite complex, but it's essential to address these topics with accurate information and guidance.

Pimples in the Genital Area
1. Causes of Pimples: The appearance of pimples or bumps in the genital area can be attributed to several factors. These may include:
- Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria, irritation, or blockage. It can lead to small, red, pus-filled bumps.

- Sebaceous Cysts: These are non-cancerous lumps beneath the skin that can occur when sebaceous glands become blocked.

- Ingrown Hairs: Shaving or waxing can lead to ingrown hairs, which can cause painful bumps.

- Hormonal Changes: Hormonal fluctuations, particularly during puberty or menstrual cycles, can lead to increased oil production and acne-like lesions.

2. Treatment Options:
- Topical Treatments: Over-the-counter acne treatments containing benzoyl peroxide or salicylic acid can be effective. However, it's crucial to use products that are safe for sensitive areas. Avoid using harsh acne medications designed for the face, as they may irritate the genital area.

- Hygiene Practices: Keeping the area clean and dry is essential. Avoid tight clothing that can trap moisture and irritate the skin.

- Avoid Picking: It's important not to pick at the pimples, as this can lead to infection or scarring.

3. When to Seek Medical Attention: If the pimples persist, become painful, or are accompanied by other symptoms such as itching or unusual discharge, it is advisable to consult a healthcare provider. They can determine if there is an underlying condition that needs treatment.

Menstrual Concerns
1. Menstrual Symptoms: Many women experience premenstrual symptoms, which can include mood swings, bloating, and breast tenderness. However, not everyone has clear premenstrual signs. The absence of noticeable symptoms before menstruation is not uncommon and can vary from person to person.

2. Menstrual Flow: The amount of menstrual flow can vary widely among individuals. A typical menstrual period lasts between 3 to 7 days, with a normal flow being about 30 to 80 milliliters (around 2 to 6 tablespoons) per cycle. If you notice significant changes in your menstrual flow, such as soaking through a pad or tampon every hour for several hours, it may be worth discussing with a healthcare provider.

3. Bloating and Discomfort: The feeling of needing to use the restroom frequently or experiencing abdominal bloating can be related to hormonal changes during your menstrual cycle. This sensation is often due to water retention and gastrointestinal changes that occur before and during menstruation.

4. Tracking Your Cycle: Keeping a menstrual diary can help you track your cycle, symptoms, and any changes over time. This information can be valuable for your healthcare provider to assess your menstrual health.

Conclusion
In summary, while pimples in the genital area can be bothersome, they are often manageable with proper hygiene and care. If they persist or worsen, seeking medical advice is essential. Regarding menstrual concerns, it's normal for experiences to vary widely among individuals. If you have significant discomfort or changes in your menstrual cycle, consulting a healthcare professional can provide clarity and reassurance. Regular check-ups and open communication with your healthcare provider can help address any concerns and ensure your reproductive health is monitored effectively.

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