Small labia inner side develops granules, with white vaginal discharge resembling tofu curd.
Small granules appearing on the inner labia with tofu-like vaginal discharge may be caused by conditions such as leukoplakia of the vulva, genital warts (condyloma acuminata), vulvovaginal candidiasis, endometritis, or pelvic inflammatory disease. Targeted treatments are required, and a detailed analysis is as follows:
1. Leukoplakia of the vulva
This condition may result from multiple factors including genetics and hygiene. As the disease progresses, it can lead to depigmentation of the skin in the genital area, causing numerous small white spots on the inner labia and abnormal vaginal discharge. Itching in the genital area may also occur. Under medical guidance, patients may use medications such as vitamin A soft capsules or cod liver oil emulsion to improve symptoms.
2. Genital warts (Condyloma acuminata)
Genital warts are sexually transmitted infections caused by human papillomavirus (HPV), primarily characterized by proliferative lesions in the anogenital region. Skin lesions may develop into small white or dirty-gray granules, leading to the aforementioned symptoms. Patients should follow medical advice and may use topical treatments such as podophyllotoxin cream or imiquimod cream.
3. Vulvovaginal candidiasis
Tofu-like vaginal discharge is a typical symptom of vulvovaginal candidiasis, mainly caused by abnormal overgrowth of Candida species. The Candida irritates the vaginal mucosa, resulting in this manifestation. Under a doctor's supervision, treatment may include vaginal suppositories such as tinidazole or metronidazole.
4. Endometritis
If women fail to receive proper postpartum care, they may develop endometritis. Inflammatory factors can irritate the uterine lining, causing abnormal vaginal discharge, abdominal pain, and other symptoms described above. Treatment under medical guidance may include oral medications such as penicillin V potassium tablets or roxithromycin capsules.
5. Pelvic inflammatory disease (PID)
PID may be triggered by poor hygiene during sexual intercourse. Inflammatory agents can irritate the pelvic mucosa, leading to these symptoms. Under a physician’s direction, treatment may involve medications such as levofloxacin hydrochloride capsules or cefixime granules.
In addition to the above, conditions such as vulvitis and polycystic ovary syndrome (PCOS) may also cause similar symptoms. It is recommended to seek timely medical evaluation at a hospital to determine the exact cause and initiate appropriate treatment promptly.