Vulvar ulcers are a concern for women and a manifestation of various diseases. There are also many causes of vulvar ulcers, and it is necessary to pay attention to good habits in daily life and prevent them reasonably in daily life.
Causes of vulvar ulcers
1. Sexually transmitted diseases: Many sexually transmitted diseases develop vulvar ulcers during the pathological process, which is also the most common cause of vulvar ulcers.
(1) Syphilis: It mainly occurs in stage I syphilis, known as prickly heat under the skin. Skin damage occurs in the genital area, as well as in the lips, pharynx, tongue, breasts, etc. It is often a painless ulcer with a diameter of 1-2 cm, with a cartilaginous hardness at the base, a clean surface, and a small amount of exudate on it. The number is usually single or 2-3, and the ulcer can disappear naturally within 3-8 weeks without treatment. After recovery, there is no trace or only mild atrophy and pigmentation left.
(2) Genital herpes: Multiple papules, small blisters, or pustules first appear in the genital area, and then develop into erosion and ulcers. There is itching and pain in the skin lesions, and the ulcers generally subside in about 3-4 weeks. After recovery, new damage may occur or recur in the original location.
(3) Sexually transmitted lymphogranuloma: The primary injury is a small blister or papule with a size of 5-6mm, with mild symptoms and ulceration, which is prone to occur in the external genitalia. The skin damage is mostly single, and sometimes there are no obvious symptoms. After a few days, it self heals without leaving scars.
(4) Inguinal granuloma: Skin damage often occurs in the external genitalia, initially as subdermal nodules, which then form a well-defined proliferative granulomatous ulcer with a foul odor, rolled edges, center beef red, easy to bleed upon contact, no pain, pus on the surface of the ulcer, and many satellite shaped small ulcers around it
2. Skin diseases: The following skin diseases can also cause external genital ulcers
(1) Fixed drug rash: Skin damage is characterized by painful erythema, blisters, erosion, or ulcers, with multiple occurrences. There is a clear history of medication, and it occurs in the same area after each medication. It is common to see skin mucosal junctions such as the lips, glans, and anus, and similar skin lesions can also occur in other parts of the body.
(2) Behcet's syndrome: also known as eye mouth genital syndrome. In addition to oral ulcers, eye injuries, skin symptoms, joint symptoms, vasculitis, and neurological disorders, external genital ulcers are also one of the characteristic symptoms of this disease. Common painful ulcers, with more obvious pain in the early stage, heal in about 1-3 weeks, leave scars, and the condition is prone to recurrent attacks, lasting for several years or decades.