There is a cyst on the vulva and pus is squeezed out

Because the female reproductive organs have a special structure and are completely exposed, if they are not properly protected, certain abnormal phenomena can easily occur. The most common condition of the vulva is a lump. If a lump grows on the vulva and pus is squeezed out, it may be vulvar folliculitis. To determine whether it is this disease, we need to have a comprehensive understanding of vulvar folliculitis and make a judgment based on our own situation. Next, let’s look at vulvar folliculitis.

Causes

Vulvar folliculitis is an inflammation caused by nonspecific purulent bacteria invading the hair follicles of the vulva. Scratching, friction, high temperature, humidity and sweating are the triggering factors of this disease.

The skin around the hair follicles of the vulva becomes red, swollen and painful, gradually forming a cone-shaped pustule with a pubic hair protruding from its center. Pustules may be multiple, and adjacent small pustules may fuse together to form large pustules, accompanied by severe congestion, edema and pain in the vulva.

examine

Routine blood examination shows that white blood cell count and neutrophil count may be elevated. The pus from the follicular pustule can be used for bacterial culture and drug sensitivity testing.

diagnosis

The diagnosis can be made based on clinical manifestations, physical signs, and the relationship of the lesions to the hair follicles. That is, superficial pustules centered on the pubic hair, with mild inflammation and shallow infiltration. Those who have recurrent symptoms should be careful to check whether they also have diabetes.

1. Eliminate the cause and keep the vulva clean and dry as much as possible. Avoid irritation and squeezing.

2. In the early stage of the disease, you can use 0.02% potassium permanganate warm water sitz bath, twice a day.

3. If multiple small pustules are formed or merge into large pustules, systemic antibiotics can be used for treatment.

4. For mature pustules, the pus can be punctured and drained, rinsed with normal saline or other external disinfectant, and then antibiotic ointment, sulfonamide ointment, or 2% iodine tincture can be applied to the periphery.

5. If the pustules have not dried and scabbed 3 days after treatment, the cause should be investigated to determine whether there is concurrent Candida infection.