What to do if there are small pimples on the vulva

Vulvar itching and small bumps may be related to vulvitis, folliculitis, condyloma acuminata, eczema, allergic reactions and other factors, which can be improved through local cleaning, drug treatment, physical therapy and other methods.

1. Partial cleaning

Wash your vulva daily with warm water and avoid using harsh lotions. Choose pure cotton breathable underwear to keep your vulva dry and clean. After washing, dry gently to avoid repeated friction and irritation of the skin. If there is increased secretion, you can use dilute potassium permanganate solution for sitz bath as directed by your doctor.

2. Anti-inflammatory treatment

For bacterial vulvitis, you can use metronidazole vaginal gel or clindamycin phosphate vaginal cream as directed by your doctor. For fungal infections, clotrimazole vaginal tablets or miconazole nitrate suppositories are recommended. The type of pathogen must be clarified before use to avoid overuse of antibiotics leading to bacterial imbalance.

3. Antiviral treatment

Patients with genital warts need to use imiquimod cream or podophyllotoxin tincture under the guidance of a doctor. Regular review is required during treatment, and cryotherapy can be combined with larger warts. It is forbidden to scratch or use folk remedies to prevent the spread of the lesions.

4. Anti-allergic treatment

If you are allergic to sanitary napkins, condoms and other items, you should stop using the allergenic products immediately. Short-term topical hydrocortisone cream can be used to relieve symptoms, and in severe cases, loratadine tablets can be taken orally. It is recommended to choose fragrance-free and dye-free hygiene care products for daily use.

5. Physical therapy

Infrared physiotherapy can be considered for refractory eczema or lichenification. If combined with infection, inflammation must be controlled first. Larger vestibular gland cysts require ostomy, and the incision should be kept clean after surgery. All physical interventions must be performed in formal medical institutions.

You should avoid wearing tight pants and sitting still for long periods of time. Reduce the intake of spicy and irritating foods in the diet, and supplement the vitamin B family appropriately. Avoid scratching when itching occurs. Use cold compresses to relieve discomfort. If symptoms persist for more than 1 week or ulcers, exudation, etc. occur, you need to see a gynecologist or dermatologist in time. Sexual intercourse is suspended during treatment, and partners need to undergo simultaneous examinations to prevent cross-infection.