Red small bumps with itching inside the labia
Itching with small red granules inside the labia may be caused by allergies, vaginitis, genital warts, or other conditions. Appropriate treatment should be based on the specific cause. Detailed explanations are as follows:
1. Allergy
If the fabric of clothing is too coarse or not thoroughly cleaned, excessive friction between underwear and the labial area may trigger a local allergic reaction. This activates mast cells in the area, leading to the release of inflammatory mediators, resulting in itchy red granules inside the labia. Patients are advised to take medications such as cetirizine hydrochloride tablets or loratadine tablets under medical guidance.
2. Vaginitis
Remaining in a humid environment for prolonged periods can make the genital area excessively moist and warm, promoting bacterial growth on the skin surface and subsequent invasion into deeper tissues, causing vaginitis. Inflammatory factors may stimulate surrounding tissues, leading to mucosal hyperplasia and the appearance of such symptoms. It is recommended that patients use antifungal or antibacterial medications like clotrimazole cream or metronidazole tablets as directed by a physician.
3. Genital Warts
This condition is primarily transmitted through sexual contact and is caused by infection with the human papillomavirus (HPV). After infection, the virus invades the skin and mucous membranes, causing lesions in the genital areas. These lesions typically appear as red, granular growths that may bleed upon touch. Treatment options include topical medications such as imiquimod cream or podophyllotoxin tincture, used strictly according to medical instructions.
In addition, similar symptoms may also result from folliculitis, eczema, or pseudogenital warts. During recovery, patients should avoid excessive scratching of the affected area to prevent ulceration and delay healing.