What's wrong with the pimple next to my vulva?

A pimple growing next to the vulva may be related to factors such as folliculitis, Bartholin's cyst, condyloma acuminata, sebaceous cyst, vulvar fibroma and other factors. It is recommended to seek medical treatment promptly for a clear diagnosis, and the doctor will provide targeted treatment according to the specific situation.

1. Folliculitis

Folliculitis is usually caused by bacterial infection of hair follicles and manifests as localized red, swollen, painful bumps that may be accompanied by pus. It is necessary to keep the perineum clean and dry every day and avoid scratching. The doctor may recommend topical mupirocin ointment or fusidic acid cream to fight infection. In severe cases, oral cefuroxime axetil tablets can be taken.

2. Bartholin gland cyst

Bartholin's gland cyst is formed due to the accumulation of secretions due to obstruction of the gland duct. It is mostly a unilateral painless mass that may become swollen and painful when secondary infection occurs. Smaller cysts can be observed, but those with larger ones or those with repeated infections require Bartholin Cyst ostomy. In the acute stage, levofloxacin tablets combined with potassium permanganate can be used for sitz bath as directed by the doctor.

3. Genital warts

Genital warts are growths caused by human papillomavirus infection. They appear as cauliflower-like or papillary protrusions and are contagious. After diagnosis, cryotherapy can be used to remove the warts, or topical imiquimod cream can be used to regulate local immunity. Sexual partner screening needs to be done at the same time.

4. Sebaceous cyst

Sebaceous cysts are formed due to blockage of sebaceous gland ducts. They are soft and pushable. Redness and swelling may occur when infected. It can be observed when there is no infection. During the infection period, azithromycin dispersible tablets need to be taken orally, and cyst resection is performed if necessary. Daily squeezing of cysts should be avoided.

5. Vulvar fibroma

Vulvar fibromas are benign connective tissue tumors that grow slowly and are hard and usually asymptomatic. Those with a diameter less than 1 centimeter can be followed up regularly. Tumors that are larger or affect life require surgical resection. Postoperative pathological examination can clarify the nature.

You should choose cotton underwear and change it daily, and avoid using irritating lotions to clean the vulva. If symptoms such as swelling, ulceration, bleeding, or fever occur, you must seek medical attention immediately. During the treatment period, sexual intercourse is prohibited, the diet should be light, and spicy food should be avoided. Regular gynecological examinations can help detect vulvar lesions early.