A hard, pimple-like bump has grown below, and it's very itchy.
The term "below" usually refers to the vulva. A hard, pimple-like bump on the vulva that is itchy may be caused by mosquito bites, folliculitis, herpes, vulvar boils (furuncles), genital warts (condyloma acuminata), and other conditions. It is recommended to seek treatment based on the underlying cause.
1. Mosquito bites
If the vulvar area is bitten by insects, viruses carried by the insect can enter the skin, causing localized swelling and resulting in a hard, pimple-like, itchy bump. This may be accompanied by redness and swelling of the skin. Symptoms typically improve with rest. However, avoid scratching with hands to prevent secondary infection.
2. Folliculitis
Bacterial infection or inflammatory reaction in the skin of the vulvar area can easily lead to the formation of a firm lump, often accompanied by local itching and a burning sensation. Follow medical advice to use topical medications such as mupirocin ointment, fusidic acid cream, or miconazole cream for treatment.
3. Herpes
Small fluid-filled blisters appear on the vulva and surrounding skin; when these blisters rupture, they form ulcers. The affected area may feel hard and itchy, and persistent pain may also occur. Under medical guidance, antiviral medications such as acyclovir tablets, valacyclovir hydrochloride tablets, or famciclovir capsules can be used for treatment.
4. Vulvar boil (furuncle)
An infected hair follicle in the vulvar region may develop into a painful, hard nodule resembling a boil, possibly accompanied by itching or a burning sensation. As directed by a physician, antibiotics such as erythromycin ointment, cephalexin capsules, or clindamycin hydrochloride capsules may be prescribed to control infection. In some cases, incision and drainage may be required.
5. Genital warts (condyloma acuminata)
Firm, wart-like growths may appear on the vulva and around the genital area. These may be associated with symptoms such as vulvar swelling and pain during bowel movements. Under medical supervision, treatments may include medications like valacyclovir hydrochloride tablets, fluorouracil cream, or recombinant human interferon α2b for injection. Additionally, surgical options such as high-frequency electrocautery or curettage may be recommended by your doctor.
If symptoms persist or worsen over time, it is important to promptly visit a hospital for accurate diagnosis and appropriate medical treatment. Maintaining good vulvar hygiene is also essential to prevent infection.