Causes of Female Vulvar Folliculitis

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 03, 2024
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The occurrence of vulvar folliculitis in women has many causes. The main reason might be related to wearing overly tight underwear and skinny jeans, as well as garments made from non-breathable materials. It could also be related to hot weather conditions where women's skin tends to be more moist and prone to sweating. Another possible cause is poor genital hygiene, which is a likely factor. Additionally, it could be associated with sexual partners, hence it is necessary to identify the specific causes and investigate them one by one.

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Written by Liu Gang
Dermatology
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What is folliculitis excision surgery?

Most cases of folliculitis are not very severe and can usually be gradually reduced with common oral and topical anti-inflammatory medications. If a particular folliculitis is relatively large, with a pronounced pustule, local disinfection and lancing to remove pus and blood may also be considered. Some cases of folliculitis are characteristically very painful and soft to the touch; in these instances, surgical drainage may be employed. Generally, after thorough surgical cleaning, the area can slowly heal. During treatment, anti-inflammatory medications should continue to be taken orally. It's recommended to avoid spicy and irritating foods for a long period, avoid staying up late, and it is best not to keep small animals at home or go to public baths and swimming pools. (Please use medication under the guidance of a professional physician and do not medicate blindly.)

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Written by Liu Gang
Dermatology
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What department should I visit for folliculitis?

Folliculitis is caused by overactive sebaceous glands, consuming spicy and stimulating food, or frequent sleep deprivation, leading to bacterial infection on the skin surface. This condition falls under the treatment category of dermatology, and one can register for treatment at the dermatology department of a formal hospital. Generally, oral and topical medications are commonly used and are largely effective in treating the condition. If an individual folliculitis lesion appears significantly with a white pus head, it can be disinfected with iodophor, then pricked with a needle to drain the pus and blood. If folliculitis appears on the scalp and results in significant swelling, surgical incision and drainage may be required. After recovery, it is important to maintain a proper diet and lifestyle habits to prevent recurrence of the condition.

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Written by Xia Min
Traditional Chinese Medicine
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What should not be eaten with folliculitis due to lung heat?

In clinical practice, dietary restrictions for folliculitis due to lung heat typically include avoiding or reducing the intake of spicy, greasy, and cold foods. The so-called spicy foods refer to hot pots, barbecues, and dry pots, especially those containing cumin, chili, and Sichuan pepper. These aromatic and spicy foods should not be consumed. What are cold foods? Examples include ice cream and popsicles, as these can transform dampness into heat, thus such cold foods should also be avoided. Greasy foods include rich oil-based soups or broths, which are also not suitable for consumption during folliculitis.

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Written by Liu Gang
Dermatology
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Does folliculitis recur?

Folliculitis tends to recur frequently and is generally related to one’s diet and lifestyle habits. Long-term consumption of spicy and irritating foods, staying up late, and experiencing anxiety or stress can all lead to repeated episodes of folliculitis. Once this condition appears, it is essential to seek proper treatment. Treatment should be sought from a dermatology department at an established hospital, including oral and topical medications, and can be complemented with red light therapy. After treatment, it is crucial to avoid spicy and irritating foods, staying up late, and situations that may cause anxiety or stress for an extended period. It is also advisable to avoid public baths and swimming pools. For individual cases of folliculitis, if the lesion is relatively large, it can be disinfected with povidone-iodine, then lanced to clean out the pus and blood. Regular consumption of heat-clearing, anti-inflammatory traditional Chinese medications can also be beneficial. (Please follow a professional physician's guidance when using medications and do not self-medicate.)

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Written by Liu Gang
Dermatology
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What medicine should be applied for folliculitis?

Folliculitis is a disease caused by an inflammatory infection, generally associated with excessive secretion from the sebaceous glands, frequent consumption of spicy and irritating foods, or staying up late. It commonly affects the scalp, face, or buttocks. For treatment, topical antibiotics can be applied, and taking oral anti-inflammatory medications may also be appropriate. If individual follicles are particularly painful and swollen, they can be disinfected and lanced with a needle to drain the pus and blood. This condition has a high recurrence rate, so after recovery, it is important to avoid spicy and irritating foods, refrain from staying up late, engage in regular exercise, avoid public baths, and minimize exposure to infectious bacteria.