Hi Im 43 Yrs Old Serially Active...have A Few Different

Posted on Tue, 18 Aug 2020

Question: Hi Im 43 yrs old serially active...have a few different sized bumps on my labia. Skin is smooth on top under skin looks like a yellow colored seed ranging in size from a pea and smaller and feels like a seed under skin. In the past I was able to break the skin once and a seed shaped yellowish color lump of a waxy material came out .....what could this be im terrified of stds

Answered by Dr. Lekshmi Rita Venugopal (1 hour later)

Brief Answer:
Most likely to be vulvar folliculitis

Detailed Answer:
Hello,
Thank you for trusting us health concern

The symptoms you are experiencing is most likely to be vulvar folliculitis. It is bacterial infection of hair follicles. You do not need to be concerned about STDs at this point.
You can apply Neosporin ointment to treat folliculitis. Keep the area clean. Wear loose-fitting cotton undergarments. Avoid shaving the area. Instead, use hair removal creams if needed.
If the symptoms don't improve in next 3-4 days, follow up with your primary provider or ObGyn for detailed evaluation.

Hope this answers your question
Please address additional questions here
Regards
Dr.Lekshmi Rita Venugopal

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Lekshmi Rita Venugopal (4 hours later)

I have had these for a cpl years now never painful though so I think you possibly gave misdiagnosis? Is there another cause?

Answered by Dr. Lekshmi Rita Venugopal (17 hours later)

Brief Answer:
Follow up with ObGyn

Detailed Answer:
Hi again,

Since your issue has been persistent, it is better to rule out STDs especially herpes infection. Vaginal swab microscopy and culture are required at this point. Other issues like contact dermatitis can also cause such symptoms.
It is difficult to give you a definite answer without a physical examination and appropriate laboratory investigations.

So please be advised to follow up with your ObGyn for a detailed evaluation.

Regards,
Dr.Lekshi Rita Venugopal

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Lekshmi Rita Venugopal (7 hours later)

To my knowledge herpes comes n goes and changes these bumps came and have been the same for years never moving or changing. Is millia a possibilty?

Answered by Dr. Lekshmi Rita Venugopal (8 hours later)

Brief Answer:
Biopsy is recommended

Detailed Answer:
Hi again,

From the history provided earlier, it seemed to me like the lesions were coming on and off. I apologize for the confusion.
But if it has been there for a while, then there are few possibilities including milia, lichen planus, beningn squamous pappilamatosis needs to be considered.
So the next step in management is to get a biospy and histopathological evaluation done to identify the cause for the lesions.
Please be advised to follow up with your ObGyn.

Regards
Dr. Lekshmi Rita Venugopal

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad