It is an infection of the hair follicles of the vulva and/or vaginal lips.
It is usually caused by a bacterial infection, made worse by the use of tight underwear or hair removal that damages the follicle. When the hair cannot grow back into the skin, the area becomes inflamed and can become infected with bacteria such as Staphylococcus aureus or fungi. The infection can spread to other follicles and affect a larger area, causing a collection of pus in the genital area known as a vulvar abscess.
It manifests with pain in the genital area, mainly in the pubis and labia majora. It may be accompanied by redness and warmth of the affected skin. In more severe cases, fever and pus discharge may occur.
Diagnosis is made clinically by asking about symptoms and examining the affected area. A general blood test may be required to investigate the infection.
Treatment includes topical cleansers with antibacterial or antifungal products. In more severe cases, oral antibiotics may be used and surgical drainage of the abscess may be necessary.
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