What are the causes of swelling inside the vulva?

Question

Hello doctor,

I do not know what it is, but it is related to the vulva, so you know the vulva has three coverings, right? Near the middle one, beside it, is a swollen-like thing, and as I widen it open, I see a small cut. I can see a white substance bulging out like a pimple's pus. I tried touching it, but it won't come out, and it seems like something is growing, as two to three small dots can also be seen, white, like something is growing. Its neither a vaginal boil nor any pimple. Can you tell what it is?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

They could be related to a few different conditions. Based on your description of a small cut, white substance that seems like pus but would not come out, swelling, and white dots, here are some possibilities:

Bartholin’s cyst or abscess: Located near the vaginal opening. It starts as a painless swelling, but if infected, it becomes red, painful, and may discharge pus. You might notice small white areas if it’s starting to drain or has developed small pus pockets.
Sebaceous cysts or blocked glands: When a skin gland becomes blocked, sebaceous cysts can form around the vulva. They may appear as white or yellowish bumps and become swollen or slightly painful. The “white substance” is often keratin, not pus.
Vulvar vestibulitis or minor trauma: A small cut or irritation can cause swelling and sometimes lead to a minor infection or inflammation. It may result from friction, tight clothing, or a minor injury during activity.
Genital warts or molluscum contagiosum (less likely, but worth considering): Warts caused by HPV (human papillomavirus) can appear as small white or flesh-colored bumps. Molluscum contagiosum appears as white or pearly bumps with a dimple center. These are usually painless but may spread.

I hope this information helps you.

Feel free to ask further queries.

Thank you.