What causes a small red patch on labia majora?

default
Posted on Mon, 15 Jun 2015 in Skin Hair and Nails
Question: Dear Dr,
I had a small red patch(Almost 1 cm length and 1/2 cm width little more oval shape,similar to a psoriasis patch) on my labia majora.It was not that much itchy but had a few noticeble uneasiness with respect to the infected site,had no other symptoms like lymph node,fever etc.After three days skin peeled off and became like a wound but not shallow(can not call it as an ulcer,it had a high surface).After 5 days completely cured and it left a mark.Medicine taken was Azythromycin.

Kindly advise me.

JS
doctor
Answered by Dr. Kakkar S. 34 minutes later
Brief Answer:
Probably it was a bacterial skin infection

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have understood your concern.

I suggest a likely possibility of bacterial skin infection/ folliculitis considering the fact that it responded to Oral Azithromycin.
The mark left is post-inflammatory and would resolve on its own with time.

Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kakkar S. 3 minutes later
I am worried about that open sore /wound ,nothing else.What is its reason.I am too much concerned about it.Kindly advise.No vaginal discharge nothing.

I have vaginal dryeness as i am in age 45 plus have hypo thyroidism.


Regards
JS
doctor
Answered by Dr. Kakkar S. 12 minutes later
Brief Answer:
Need more details

Detailed Answer:
Hi.

A sore/ wound is quite normal with a bacterial infection. You said that it healed within 5 days on azithromycin and left a mark.

Do you have any such history of sores earlier?
Are you sexual active? If yes, with single or multiple sexual partners? and when was you last sexual contact?
Can you upload an Image if there is still some sore or wound present?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kakkar S. 5 minutes later
Sorry Dr.You have not replied my second query.

I am waiting for your reply


Regards
JS
doctor
Answered by Dr. Kakkar S. 8 minutes later
Brief Answer:
I suggest either HRT or estrogens creams for vaginal dryness

Detailed Answer:
Hi.

Vaginal dryness is most likely due to diminishing estrogen levels that can be part of peri-menopause Or menopause.
I would suggest either Estrogen creams, Hormone replacement therapy/ HRT for vaginal dryness.
These should improve your symptoms within 2-3 weeks.
I suggest that you talk to your gynecologist for more details regarding these.

Hypothyroidism too could be a contributing reason for vaginal dryness and I would suggest thyroid replacement therapy, if you are not already on it.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kakkar S. 24 hours later
Thanks for your reply.
2 years before I had an open sore with totally different symptom.It was also near to vaginal opening in labia majora.(I had vaginal thrush and a flesh coloured bump (catchable size ),then also I haven't had any blisters or lymph nodes,no oozing,not severe pain or itching,fever nothing.But it changed to open sore and healed with mark with antibiotic within 5 days.I doubted that as bartholian gland.

This time different symptom,red patch(No blisters) came up and after three days its corroded with a wet wound but no oozing no lymph node ,no fever,a very little bit itch,soreness when falling water.It also gone within 5 days with a mark.

I am in sexual contact with my husband frequently but he doesn't have any issues since these two years.


Kindly advise.


doctor
Answered by Dr. Kakkar S. 4 hours later
Brief Answer:
A suggest a test to rule out possibility of genital herpes

Detailed Answer:
Hi.

Thank you for additional details.
The only other possibility apart from bacterial skin infection, that this sore in genital area could be is that of recurrent genital herpes.
Recurrent genital herpes is usually a minor episode, is asymptomatic or may have minor symptoms like pain, burning, itching and systemic symptoms like fever are usually absent.
Recurrent genital herpes is self healing and heals within 3-5 days without treatment.
These episodes may even pass unnoticed.
There might be just a single or a few grouped, discrete or coalesced erosions/ sores in recurrent genital herpes.
Therefore I suggest a blood test for HSV by ELISA for type 1 and type 2 virus to rule out this possibility.
Herpes is acquired sexually from an infected sexual partner.
People who have had multiple sexual partners might not be aware when and where did they acquire herpes infection

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kakkar S. 12 hours later
Dear Dr,
Thanks for the reply.

I will do if it occurs again.Meanwhile could you please suggest the precautions to avoid the recurrances at least.


Regards XXXXXXX

doctor
Answered by Dr. Kakkar S. 5 hours later
Brief Answer:
First step is to confirm whether it is herpes Or not

Detailed Answer:
Hello XXXXXXX

The first and foremost thing here is to confirm whether it is herpes or not, by a blood test.
ELISA for HSV can be done even during clinically asymptomatic phases. It detects circulating antibodies against HSV.
If this test comes out to be negative that would rule out Herpes as a possibility.

Even if the condition which you have is indeed genital herpes, there is still no need for a regular antiviral treatment because your episodes are far and few in between and they are mild in severity.
You may, however, take episodic treatment with an Oral antiviral e.g valacyclovir, if and when episodes do occur.

The precaution that one needs to take with genital herpes is that one should avoid sexual intercourse during a clinical episode of herpes/ active sores so as to reduce risk of transmission to sexual partner and it would be even better if you insist on your partner to use a condom for each and every sexual contact that you have with him.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8893 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Lab Tests
Medical Topics ,   ,  

Recent questions on  Hsv

doctor1 MD

Yes, thank you. My daughter was tested ( blood) and was told she has Herpes Simplex 2. What is it, how did she get it, what do we do now?

doctor1 MD

Hi, please need your help on this to get clarified. 1) I had protected intercourse with 4 sex workers. I didn't find any breakage in condom in all...

doctor1 MD

I have a globus sensation for 3 months now with dizziness . My doctor said that it is just due to my allergies causing post nasal drip leading to...

doctor1 MD

Hello,

I am a 26-year old female who has just been diagnosed with HSV 2. I have been with my husband for 5 years and this is the first time I have...

doctor1 MD

Hello, ive been with my current girlfriend for two months now. She had only been with one other guy before me and has never had a problem until me....

Get personalised answers from verified doctor in minutes across 80+ specialties

193 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2