How to treat a big pimple on the vulva that hurts

The pain of a large pimple on the vulva may be related to folliculitis, Bartholin's cyst, vulvar boil, sebaceous cyst or genital herpes, which can be relieved by local cleaning, medication, physical therapy or surgical drainage. It is recommended to seek medical treatment promptly for a clear diagnosis.

1. Partial cleaning

Wash your vulva daily with warm water and avoid using harsh lotions. Choose pure cotton breathable underwear and change it every day. After cleaning, boil or disinfect it or expose it to the sun. If it is in the early stages of folliculitis, it may subside on its own after local cleaning, and no special treatment is required.

2. Drug treatment

For folliculitis caused by bacterial infection, you can apply mupirocin ointment or fusidic acid cream as directed by your doctor. When Bartholin gland cyst is complicated by infection, oral administration of cefaclor capsules combined with metronidazole tablets is required. Genital herpes requires antiviral treatment with acyclovir cream combined with valacyclovir tablets.

3. Physical therapy

Boils that have not suppurated can be treated with local hot compress to promote the resolution of inflammation, 3 times a day for 10 minutes each time. In the acute stage of Bartholin's gland cyst, infrared irradiation can be used to relieve swelling, but it needs to be done in a medical institution to avoid burns.

4. Surgical drainage

Boils or Bartholin gland cysts that form abscesses require incision and drainage by a doctor. Drainage strips will be placed after surgery and dressings will be changed regularly. For patients with large sebaceous cysts or recurrent infections, surgery is recommended to completely remove the cyst wall.

5. Daily care

During treatment, avoid scratching the affected area, and sexual intercourse should be suspended until recovery. The diet should be light and spicy foods should be limited. Diabetic patients need to strictly control their blood sugar, and those with low immunity can take appropriate vitamin C tablets to enhance their resistance.

Keeping the vulva dry and clean is the key to preventing recurrence, and you need to change sanitary napkins frequently during menstruation. If the mass continues to increase, the pain worsens, or is accompanied by fever, a follow-up visit should be made immediately to rule out other pathologies. Avoid squeezing or pricking the pimple yourself to prevent the infection from spreading.