After giving birth, itching around the vaginal opening and small bumps when touched - what could be the cause?

Patient's question:

Detailed medical condition and consultation purpose: Itching at the vaginal opening after childbirth, with small bumps upon touch. During the postpartum week-five checkup, it was diagnosed as vaginitis, and Kangfu Xiaoyan was prescribed. However, strangely, the instructions specify rectal administration, so it was not used. Only Wujiajie was used for daily cleaning twice. Currently, if not walking at home, the sensation is not noticeable. But when walking more, it feels like it's being rubbed raw. What should be done? Is it reasonable to treat vaginitis with rectal administration?

Doctor's answer:

The growths you mentioned could include condyloma acuminatum (genital warts), pseudopapillomatosis, polyps, cysts, infections, and folliculitis, among others. Without a specific description of your condition, it's difficult to make a definitive judgment. Based on my experience, it's more likely to be condyloma acuminatum. Pearl papules are generally caused by dampness and heat in the genital area, often accompanied by vaginitis. Once the vaginitis is cured, the condition will usually resolve on its own. I recommend undergoing a routine vaginal discharge test and treating it accordingly for a quicker recovery. You can also use potassium permanganate warm water sitz baths.

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