How to Treat Small Granules on the Vulva?

Abnormalities in the female genital area are often caused by gynecological diseases, which are relatively easy to diagnose. However, some symptoms may be less straightforward, such as the presence of small granules on the vulva accompanied by itching. There can be various reasons for these symptoms, and it is important to have a general understanding of them and make judgments based on individual situations before seeking active treatment. So, how do we treat small granules on the vulva? Let's take a look below.

1. Causes of Vulvar Itching and Small Granules

The most common causes of vulvar itching and small granules are Candida vaginitis and trichomoniasis vaginitis. Other possible causes include crab louse infestation, scabies, and pinworm infection, which can cause itching around the anus and vulva, especially at night. Chronic vulvar dystrophy is another cause, characterized by severe itching and pallor of the vulvar skin. Drug allergies or irritation from chemicals such as soap, condoms, or disinfectants can also cause contact or allergic dermatitis, leading to vulvar itching. Unexplained vulvar itching often occurs in women of reproductive age or postmenopausal women, affecting the entire vulvar area or limited to a specific area or one side. Although the itching can be severe and unbearable, the local skin and mucosa often appear normal or may have scratches due to excessive scratching.

2. Symptoms of Vulvar Itching and Small Granules

Symptoms of vulvar itching and small granules include the presence of nodules on the vulva, often accompanied by pain and itching. Many patients experience long-term vulvar itching, followed by the development of papules, nodules, or small ulcers that do not heal over time. Some patients may also have vulvar leukoplakia. When the tumor is adjacent to or invades the urethra, symptoms such as frequent urination, painful urination, burning sensation during urination, and difficulty urinating may occur. Vulvar itching is often located on the clitoris or labia minora and can also affect the labia majora, perineum, and even the perianal area. The itching is often episodic but can also be persistent, with symptoms often worsening at night.

3. Management of Vulvar Itching and Small Granules

The skin of the female vulva is very delicate, and it is important to avoid using high-concentration gynecological disinfectants when cleaning to prevent irritation of the vaginal mucosa and discomfort. In cases of vulvar itching, it is appropriate to use diluted salt water to clean the genital area, but the concentration should not be too high to avoid irritating the skin. It is crucial to seek active treatment, maintain good hygiene, and keep the vulvar area dry and clean. The use of hot water or soap should be avoided. It is not recommended for women to self-medicate or self-treat vulvar itching. Instead, they should seek the advice of a healthcare professional for appropriate treatment.