Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-Pimples of the Labia Minora-as they come in numbers and drain and vanish.
Recent history of
hysterectomy with mons-pubic shaving would expose you more to
Boils of the shaven hairfollicles.
Accompanied
Vaginitis needs to be ruled out-as you have recurring pains and itching at the site.
Hormonal flucuations could be thought of, but for your age-of 45,at which
menopause would reduce possibility of Pimples of Minora-from estrogenic hormones in your case, but the personal variation with option of hormonal connection of these Minora Pimples could not be ruled out.
Other accompanied-causes-as bartholian Cysts /Herpes/
Diabetes and others need to be ruled out with Gynec
Second opinion.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS