There is a hardened area on the outer epidermis of the vulva, which is a bit painful. What could be the reason?

Patient's question:

Detailed medical condition and consultation purpose: There is a nodule the size of a middle finger on the upper epidermis of the vulva, which is a bit painful when pressed, and becomes more painful during menstruation. It has been growing for more than half a year, and it was smaller before. What is this??
Thank you experts for answering me!

Doctor's answer:

Hello! Based on your description, it is likely that you may have balanitis. This is often caused by poor personal hygiene or phimosis, where the inner foreskin secretions cannot be cleared promptly, allowing pathogens to grow and multiply, leading to local inflammation. You can use potassium permanganate solution for rinsing. Pay attention to personal hygiene, change your underwear and pants frequently, and avoid spicy and irritating foods. If the recurrent episodes are caused by phimosis, it is best to undergo circumcision, which can prevent the occurrence of balanitis. Maintain a light diet and avoid spicy and irritating foods. Rest and avoid overexertion. Avoid masturbation and unsafe sex.

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