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Furuncles of the labia, or as they are popularly called “chiria,” are inflammation of the hair follicle, close to the sebaceous glands and surrounding tissues. A common disease of the intimate area that can have serious consequences if left untreated. It’s a pity that not everyone immediately goes to the doctor with this problem. Treatment must be carried out to avoid complications and side effects. Especially when a boil appears inside the skin of the labia. This can occur anywhere on the vulva (labia majora and minora), pubis, perineum, or closer to the anus. A boil in the intimate area may have the term “boil”.
If the process is characterized not by a single formation, but by multiple rashes on the external genitalia (from three units), then this is called “furunculosis.” This disease should not be confused with carbuncle - a purulent inflammation that affects the inner layers of the dermis and subcutaneous fatty tissue.
Pustules on the labia with syphilis
Pustules on the labia appear as a result of infection by the pathogen Treponema pallidum.
Upon examination, they look like acne.
Diagnosis is difficult with syphilis, without a laboratory base.
To confirm, a blood test is most often taken.
When pustules appear, be sure to check when the last time you had sexual intercourse.
Syphilis is accompanied by enlargement of regional lymph nodes.
Syphilis rashes are not accompanied by itching and pain.
Characteristic will be the absence of clearly manifested inflammation at the site of the abscess.
Therapy in our clinic
If you notice lumps on your genitals, we recommend that you do not hesitate to contact our qualified specialists. You will be examined by our gynecologists, after which, if necessary, they will be referred to a surgeon. We will carry out the appropriate treatment, choosing the best option for you. We always strive to choose gentle techniques, but if this is not possible, our surgeon will eliminate your tumor quickly, painlessly, with a guarantee of no complications.
Many years of practice and extensive experience of our specialists allow us to vouch for the health of each patient. We recommend that you consult a doctor in a timely manner to avoid serious complications and relapses of the disease.
Pustules on the labia with molluscum contagiosum
A small nodule is formed, dense to the touch.
The formation has a depression in the middle.
Infection with molluscum contagiosum occurs through the use of other people's personal hygiene items, close contact, and sex.
Molluscum contagiosum can cause formations that look like pustules.
When squeezed out, the contents are whitish in color.
HPV provokes spontaneous cell division at the site of infection by the virus.
Characteristic formations begin to appear in this area, but no pain occurs.
Over time, the formations grow and resemble cauliflower in appearance.
At first they can be confused with pustular elements.
Remember! If pustular rashes appear, you should visit a doctor.
Pustules on the labia: tests
When rashes appear, many women are interested in the question, “which doctor and where should I go?”
If a pustular rash forms, you should see a gynecologist.
You can consult the following doctors:
- Dermatologist
- Venereologist
- Urologist
- Virologist
During the consultation, the specialist conducts a full examination of the genital organ and studies the nature of the rash.
Laboratory tests will be ordered to confirm the diagnosis.
They help differentiate the diseases that caused the rash.
For research, a smear and blood are taken.
will help make a diagnosis .
This method allows you to detect the DNA of the causative agent of a particular disease.
The doctor takes the material for the study during the examination.
The manipulation is carried out using a special spatula.
The material is collected from the genital organ.
The contents of the abscess can also be taken for research.
A sample of the material is placed in a sterile tube and sent to the laboratory for further study.
blood tests on an empty stomach, from a vein.
Research can be carried out using several methods:
- 1.ELISA
- 2.RPGA
- 3.RIF
With the help of serological reactions, not only the presence of the disease is established, but also the stage of development of the pathological process.
If syphilis is suspected, the Wasserman reaction or rpr test is performed.
This diagnostic method allows you to diagnose the disease at the initial stages.
The result form will contain a mark indicating a positive or negative result.
Taking out! If a positive result is obtained, the study should be repeated.
Violation of the rules for preparing for analysis may cause an unreliable analysis result.
After the diagnosis has been completed, based on the result, the doctor will prescribe an effective course of treatment.
Clinical manifestations
A boil in intimate places in women has the following symptoms. Firstly, the development of a boil on the labia, chiria, occurs in several successive stages.
1. At the initial stage, there is slight swelling and slight itching in the labia area. The area of skin where the inflammation has formed becomes red and swollen. This phase usually lasts 3-5 days.
2. The next stage, suppuration, is the most worrying. Focal inflammation intensifies and a necrotic core consisting of pus (dead cells) is formed. In an intimate place, the forming boil becomes purple-reddish in color, and a white dot appears in the center of the boil. This period is characterized by the following symptoms:
- Pain at the site of inflammation, which sharply intensifies with pressure.
- Feeling of fullness in the vagina.
- Swelling of the labia minora or majora.
- Difficulty performing normal movements.
- Increased body temperature (sometimes above 38°C).
- Weakness and deterioration in general health.
3. At the third stage, the boil inside the labia (minor or major) opens on its own and its contents come out. After this, pain and swelling in the intimate area decrease. The recovery stage begins, which lasts 8-12 days. During this period, healing of the wound surface occurs.
Causes of a boil on the labia minora
On the external genitalia (outer and inner labia), a boil arises due to infection with a bacterial infection, most often Staphylococcus aureus. A number of factors contribute to the development of the disease. All these factors, individually or together, can lead to infection and the appearance of chiria. These gynecologists include:
- Decreased immune defense;
- Hypovitaminosis;
- Lack of adequate intimate hygiene;
- Violation of metabolic processes;
- Hypothermia, and in more rare cases, overheating of the body;
- Increased sweating;
- Microtraumas that occur during shaving or epilation of a deep bikini;
- Significant mechanical loads on the perineum, especially in the presence of hypertrophy of the labia minora;
- Any injuries in the groin area;
- Diabetes mellitus, hyperandrogenism;
- Chronic infectious disease;
- Synthetic underwear;
- Pregnancy (hormonal changes and decreased immunity).
Possible complications
You should not try to press or puncture the lesion even with a needle treated with alcohol - this can lead to the penetration of infectious agents into the blood vessels and the development of complications, including an abscess or blood poisoning. If the boil is squeezed out, not kept clean, or treated incorrectly, other serious complications can develop. There are a huge number of blood vessels in the groin area, which contributes to the rapid spread of infection.
The most typical complications of private boils:
♦ Furunculosis. In this condition there are many forms of boils, which are in different stages of development; ♦ Phlegmon (purulent process in the subcutaneous tissue, which is not a restrictive capsule); ♦ Lymphadenitis (inflammation of the lymph nodes, often inguinal); ♦ Phlebitis (inflammation of the walls of the veins); ♦ Peritonitis is an inflammatory process involving the peritoneum. ♦ Sepsis - the penetration of infectious agents into the general bloodstream with the development of inflammatory reactions throughout the body.
Ulcers on the labia: treatment
Treatment is prescribed only by a doctor.
Remember! Self-medication leads to the development of complications of the disease.
The treatment regimen depends on which flora contributed to the appearance of pustules.
Conservative therapy is used as treatment.
If necessary, surgical removal is prescribed.
Pustules on the labia, what to apply?
There are a wide variety of creams and gels available to remove skin rashes.
They can be easily used at home.
It should be noted! The dosage and frequency of application should be prescribed by a specialist.
Ointments may have antiviral or antimicrobial effects.
To eliminate a viral infection, Viferon, Acyclovir or Panavirin are prescribed.
It is recommended to lubricate the rash for two weeks.
The frequency of application is up to 5 times a day.
For a bacterial infection, antibiotic ointment is prescribed.
Sometimes a complex drug is recommended, for example Triderm.
Pustules on the labia, what pills to take?
If there is an infection, antimicrobial drugs should be taken.
As a rule, antibiotics with a broad spectrum of action are prescribed.
They are a universal remedy against sexually transmitted infections.
The following groups of antibacterial drugs can be prescribed for treatment:
- Penicillins
- Tetracyclines
- Fluoroquinolones
- Macrolides
Tetracyclines are prescribed in an amount of 250 milligrams per day.
The duration of treatment will depend on the degree of damage to the body.
Penicillins are drugs that are used in the fight against the causative agent of syphilis.
The drug can be used in the form of tablets or intramuscular injection.
Macrolides are prescribed in an amount of 500 mg 2 times a day for 5-10 days.
This group of drugs is used in cases where there are allergies to other antibiotics.
If the pustules are caused by fungal flora, antifungal agents are prescribed.
For the treatment of candidal diseases, local drugs are prescribed.
Vaginal suppositories can be used as therapy.
In case of severe damage to the body by the fungus, general medications are prescribed in the form of tablets.
The type of medication is selected by the attending physician.
To combat the fungus, Diflucan, Polygynax, and Pimafucin can be used.
Important! Self-treatment can lead to a deterioration in well-being, so you should entrust the appointment of therapy to a specialist.
At the end of the course, it is necessary to pass control tests.
This will allow us to determine the effectiveness of drug treatment.
Diagnosis and treatment of inflammation of the external genitalia
The diagnosis can only be made by a gynecologist. At the same time, no special diagnostics are needed at the first stage. The doctor will immediately notice inflammation during a routine gynecological examination. Next, the doctor determines the cause of the inflammation, after which a treatment regimen is selected.
Depending on the cause of the development of the pathology - an allergic factor, injury, incorrectly selected underwear - it is enough to simply limit the direct contact of the provoking agent with the organs and apply symptomatic therapy (local treatment that relieves unpleasant symptoms). You can easily identify this cause by donating blood for allergies. The analysis will show the cause due to the presence in the blood of special antibodies that are formed only during allergic reactions.
When diagnosing the infectious nature of the disease, microbiological culture is carried out on nutrient media in order to identify the causative agent and the correct selection of antibiotic therapy. To do this, the gynecologist takes swabs from the genital tract and sends them to the laboratory.
There, they first determine the type of infection, and then test different drugs on the samples. Since almost all pathogens of sexual diseases easily adapt to medications, choosing pills that will help you completely recover is not easy. Sometimes specialists go through up to a dozen different medications.
Unfortunately, inflammation is rarely caused by a single pathogen; more often, the cause is a whole bunch of infections, starting with thrush and ending with gonorrhea. In such cases, it will not be enough to simply take smears - the examination will continue further. You will have to donate blood for syphilis, hepatitis and undergo a pelvic ultrasound, as the process quickly spreads through the genital tract, affecting internal organs.
