Patient's question:
A month ago, I felt a itching sensation in the lower part and discovered a cluster of granulations on the inner side of the labia majora. The edge of the labia majora was sensitive, and touching the underwear would cause pain. Additionally, there was abnormal discharge: first, it was like cottage cheese-like discharge without any odor, and two days later, it turned into yellow watery discharge with a fishy smell. I didn’t take any medication, just used a medicated soap for cleaning. After about a week, the symptoms improved and disappeared, but the granulations remained, reduced to half the size of a grain of rice. Recently, the same symptoms have reappeared, which is the second time this has happened. For now, the discharge is still normal. What could this be?(I have had sexual activity, and my husband shows no abnormalities.)
Doctor's answer:
Hello! In summary, if you have vulvar itching and observe granulation tissue on the vulva, the first step should be to rule out whether it is genital warts. Go to a regular hospital for further examination, including routine vaginal discharge tests and a biopsy of the granulation tissue on the vulva. Wait for the results and receive symptomatic treatment. If it is genital warts, using a wash solution and taking levofloxacin will be ineffective. It is recommended to keep the perineal area clean, dry, and well-ventilated, change cotton underwear frequently, and wear loose-fitting underwear. You can use potassium permanganate solution to clean the vulva or take a sit bath to reduce local friction. Antibiotics may be necessary if needed.