Persistent Labial Lump: Seeking Permanent Solutions for Recurring Issues

There is a large lump on the labia?

Hello doctor, two years ago I developed a lump on my labia minora (near the clitoris), which was drained using a syringe to remove pus and blood.
Since then, the same area has repeatedly recurred, mostly without pain, but it would occasionally drain pus on its own.
Recently, it has recurred again, but this time with redness, swelling, and pain.
I visited a large hospital, and the doctor mentioned it might be an infection of the previous wound.
I would like to know if there is a definitive solution (such as surgery) to prevent recurrence in the same area.

Xiao Lizi, 20~29 year old female. Ask Date: 2016/02/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to visit the hospital for gynecological surgery.
Wishing you good health.

Reply Date: 2016/02/27

More Info

Persistent labial lumps, particularly in the area near the clitoris, can be quite concerning and uncomfortable. Based on your description, it sounds like you have been dealing with a recurring issue that has led to the formation of a lump that periodically becomes inflamed and produces pus. This situation can be frustrating, especially when it affects your quality of life.

From a medical perspective, the recurrent nature of your labial lump suggests that there may be an underlying issue that needs to be addressed. Common causes for such lumps include sebaceous cysts, Bartholin's gland cysts, or even recurrent infections. Given that you have experienced drainage of pus in the past, it is possible that the area has developed a chronic infection or has not healed properly after the initial drainage.

Treatment Options
1. Surgical Intervention: If the lump continues to recur and causes discomfort, surgical removal may be the most effective solution. This procedure would involve excising the lump entirely, which can help prevent future occurrences. A healthcare provider would typically perform this under local anesthesia. It is essential to ensure that the entire cyst or lump is removed to minimize the risk of recurrence.

2. Antibiotic Therapy: If there is an active infection, antibiotics may be prescribed to help clear the infection. However, this would be a temporary solution and may not prevent future occurrences.

3. Drainage: In cases where the lump becomes painful and filled with pus, drainage may be necessary. However, as you have experienced, this is often a temporary fix, and the lump may return.

4. Follow-Up Care: Regular follow-up with a healthcare provider is crucial. If you notice any changes in the lump, such as increased pain, redness, or swelling, it is essential to seek medical attention promptly.

Preventive Measures
- Hygiene: Maintaining good hygiene in the genital area can help prevent infections. This includes regular washing with mild soap and water.

- Avoid Irritants: Avoiding harsh soaps, douches, or other irritants can help reduce the risk of inflammation and infection.

- Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to reduce moisture and friction in the area.

When to Seek Further Help
If you have already consulted with multiple healthcare providers and have not received satisfactory answers or solutions, consider seeking a referral to a specialist, such as a gynecologist or a dermatologist. They may have more experience with recurrent skin issues in the genital area and can offer more targeted treatment options.

In summary, while there are several approaches to managing a persistent labial lump, surgical removal may provide the most definitive solution if the lump continues to recur and cause discomfort. It is essential to have a thorough evaluation by a healthcare professional to determine the best course of action tailored to your specific situation.

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