Hello doctor, I have a large, red, painful cyst-like bump on the left side of the clitoris. It hurts to walk, sit or stand. I have been doing a warm compress three a day and a hot shower once. It seems to be getting more painful. I cannot go to the doctor because of COVID-19. Please suggest.
Hi. From your history and pictures (attachment removed to protect patient identity), I gather that it is vulvitis, which has got localized to a single point. Usually, infection starts in the vagina and later it gets localized. It forms a blister and over time it forms a pustular lesion (pus as in your picture). Steps to solve this: 1. Avoid tight undergarments. No undergarments at night, so the area will be dry. 2. Abstinence until the infection resolves. 3. Have a course of antibiotics which will reduce infections and pain. Take tablet Azithromycin 500 mg two tablets after food, Fluconazole 150 mg after food, capsule Amoxicillin and Clavulanic acid 625 mg twice daily for five days. Use pain killers with Serratiopeptidase. 4. Use vaginal wash, douches, and avoid any vaginal discharge soiling the area. Do not use any local antibiotic ointments, this will form antibioma. To reduce the local edema and pain, you can apply little Glycerine and Magnesium sulfate ointment over the painful area. Then place a small gauze over it. This will immediately reduce the pain. Apply twice daily for three to five days.