What is the reason for the increasingly hard lump in the external genitalia?

Patient's question:

Health consultation description: There is a lump in the vulva, and it causes pain when lightly pressed. The doctor diagnosed vulvitis and prescribed potassium permanganate sitz bath and moisture-absorbing ointment for topical application. The patient was advised to take the sitz bath twice a day and apply the ointment three times. Due to the high concentration of potassium permanganate used in the first two baths, the patient did not use it for the last two and instead took warm water baths. The ointment was applied consistently. Last night, the patient added one tablet of metronidazole to the treatment. The lump has not improved and has become harder, though the pain has decreased. What is going on? Is it effective or getting worse?

Doctor's answer:

It is likely that the above situation is related to vulvitis. It is more likely caused by digestive issues or local inflammation. It is recommended to take Levaquin, cyproheptadine, vitamin C, and amoxicillin under the guidance of a doctor for treatment. At the same time, use potassium permanganate for local bathing. Pay attention to avoiding spicy and irritating foods, maintain cleanliness in the area, and avoid unprotected sex.

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