What causes small red bumps with white spots on the vulva?

Generally, small red bumps with white spots on the vulva may be caused by folliculitis, vaginitis, furuncles, molluscum contagiosum, or genital warts. If physical discomfort exists, it is recommended to seek timely medical treatment at a hospital. Detailed explanations are as follows:

1. Folliculitis

Folliculitis typically occurs due to inadequate local skin hygiene, excessive sweating, friction, and other factors. It initially presents as red papules resembling small bumps. As the inflammation progresses, white pustules appear at the tops of the papules. Symptoms may include pain and itching. Treatment can include medications such as Cefuroxime Axetil Granules, Doxycycline Hydrochloride Tablets, Itraconazole Capsules, and others, under a physician's guidance.

2. Vaginitis

Vaginitis may result from imbalance in vaginal pH levels, leading to bacterial overgrowth. Inflammatory stimulation may cause small bumps on the vaginal area, accompanied by white spots. Additional symptoms may include vaginal discomfort and abnormal, increased vaginal discharge. Treatment options may include Metronidazole Tablets, Levofloxacin Hydrochloride Tablets, Fluconazole Tablets, and other medications, under medical supervision.

3. Furuncle

A furuncle usually develops from infection of a single hair follicle and is a bacterial skin infection. The primary symptoms begin as a small, red, swollen, hot, and painful nodule that gradually enlarges into a conical elevation. Several days later, the center of the nodule undergoes necrosis and softens, forming a yellow-white pus plug that resembles a small bump with a white spot. Symptoms may also include fever. Treatment may involve Amoxicillin Capsules, Clarithromycin Capsules, Niuhuang Shangqing Tablets, and other medications, as directed by a physician.

4. Molluscum Contagiosum

This condition is caused by the molluscum contagiosum virus. It mainly presents with central umbilication, and white molluscum bodies can be expressed from the umbilicated area, resembling small bumps with white spots. Mild itching may accompany the lesions. Treatments may include Mupirocin Ointment, Tripterygium Wilfordii Hook F. (T3) ointment, Cidofovir Ointment, and other medications, under a doctor's guidance.

5. Genital Warts

This sexually transmitted disease is caused by human papillomavirus (HPV) infection. Initially, it presents as one or multiple scattered, light red, soft papules with pointed tips. As the condition progresses, the papules gradually increase in size and number, forming papillomatous, cauliflower-like, or cockscomb-like growths. Symptoms may include foreign body sensation, pain, and itching. Treatment options may include Valacyclovir Hydrochloride Tablets, Lamivudine Tablets, Ganciclovir Capsules, and other medications, under medical advice.

In daily life, women should maintain good hygiene. If any abnormalities are noticed, prompt medical consultation is recommended. Scratching the vulvar area should be avoided to prevent the spread of infection.