Symptoms of vulvar folliculitis

Written by Li Li Jie

Obstetrics and Gynecology

Updated on January 05, 2025

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The symptoms of vulvar folliculitis generally manifest as redness, swelling, heat, and pain. When folliculitis occurs in the vulvar area, it can cause redness and swelling of the affected follicles, sometimes with a burning sensation, as well as pain in the area.

If the inflammation is pronounced, the redness and swelling of the folliculitis can be severe, and pus formation may also occur. In such cases, it is necessary to puncture the pustules to drain the pus.

The vulvar area has a rich supply of hair follicles and poor ventilation, making it susceptible to folliculitis. It is crucial to maintain good hygiene in the genital area.

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How to treat folliculitis in the buttocks area?

Folliculitis in the buttocks should first avoid continued exposure to damp environments, keeping the area dry, and applying topical medications such as Rifan and potassium permanganate solution. Apply these topically twice a day, in the morning and evening, along with oral anti-inflammatory and antibacterial medication. Topical application of traditional Chinese medicine plasters, such as those promoting tissue regrowth and pus discharge, can also be used to break open and heal the pus-filled abscesses formed after folliculitis. Alternatively, using Western medicine approaches, after the acute inflammation and redness subside and significant abscesses form, incision and drainage can be performed. Both of these methods are viable, but avoid incisions and surgical treatments during the acute phase.

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What is vulvar folliculitis?

All parts of the body have hair follicles, and inflammation of these follicles is called folliculitis. When folliculitis occurs in the pubic area, it is referred to as vulvar folliculitis. During mild cases of vulvar folliculitis, topical erythromycin ointment can be used, and keeping the vulvar area dry and clean generally results in improvement and healing. However, if the folliculitis is severe and topical medications are insufficient, oral antibiotics may be required for treatment. If a follicular abscess develops, surgical incision and drainage may be necessary.

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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 Qu Jing

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How is folliculitis treated?

Folliculitis is a bacterial infection of the hair follicles and surrounding tissues. Most cases of folliculitis are caused by Staphylococcus aureus, with occasional infections from epidermal staphylococci, Streptococci, E. coli, and others either alone or in combination. Another scenario involves fungal folliculitis secondary to bacterial infection, typically involving Malassezia, spores, and Dermatophytes. Contributing factors include high temperatures, excessive sweating, scratching, poor hygiene habits, certain chronic systemic diseases, and long-term use of corticosteroids. Therefore, the treatment of folliculitis requires understanding the specific cause of the infection, followed by targeted treatment of the cause. Initial measures should focus on maintaining skin cleanliness and hygiene, preventing injuries, and boosting the body's immune system, primarily using topical medications. For widespread folliculitis or severe secondary infections, systemic medication may be required. If there is a concurrent fungal infection, antifungal medications are also necessary. In severe cases of folliculitis, where there is abscess formation and pus accumulation, timely incision and drainage are needed, and one should avoid squeezing the affected areas.

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Can you drink alcohol with folliculitis?

Folliculitis generally requires abstaining from alcohol, as well as spicy foods like chili peppers, lamb, and seafood. These should be avoided as much as possible because folliculitis is related to consuming spicy and irritating foods, frequently staying up late, and similar habits. Therefore, during the treatment or recovery phase, it is advisable to strictly avoid these, as well as avoiding staying up late, stress, and anxiety. It is also recommended to avoid public baths and swimming pools. Folliculitis is commonly treated with some oral and topical anti-inflammatory medications which can completely cure it. If individual lesions are particularly prominent or painful, local disinfection can be performed, and the pus and blood can be drained by piercing with a needle. For larger, more stubborn folliculitis that does not subside over time, surgical removal may be recommended.