Red spots, itching and pain on the vulva may be caused by folliculitis, vulvar neurodermatitis, genital herpes, etc. It is recommended to use different medications for the cause of the disease.
1. Folliculitis: vulvar hair follicles infected by pathogenic bacteria can lead to folliculitis, common clinical manifestations of red papules around the hair follicles, sometimes itching, pain and other symptoms. Bacterial folliculitis can be treated with antibiotics such as fusidic acid, amoxicillin and doxycycline.
Fungal folliculitis can be treated with antifungal drugs such as itraconazole, fluconazole and terbinafine.
2. Vulvar neurodermatitis: the symptoms are mainly itching and pimples on the vulva, and wounds caused by scratching can be secondary to vulvar infections, resulting in redness, swelling and pain on the vulva. Glucocorticosteroids (such as dexamethasone, hydrocortisone, etc.) can be used for anti-infection treatment.
3. Genital herpes: It is caused by herpes simplex virus infection of urogenital and perianal skin and mucous membranes, and the affected area may have red spots, itching, pain and other symptoms. It can be treated with antiviral drugs such as acyclovir, valacyclovir or famciclovir. If the pain is severe, aspirin, acetaminophen or ibuprofen can also be used to help relieve herpes pain.
There may be other causes of red spots and itching on the vulva, so it is recommended that the patient go to the hospital for a complete examination to determine the cause of the condition and treat the cause under the guidance of a medical professional. The use of the above medications should be in accordance with medical advice.