instruction: hello doctor I have a large red painful cyst like bump on the left side of the clitoris it hurts to walk sit or stand I have been doing a warm compress three a day and a hot shower once it seems to be getting more painful I cannot go to the doctor because of couid 19 please suggest
output: hi from your history and pictures I gather that it is vulvitis which has got localized to a single point usually infection starts in the vagina and later it gets localized it forms a blister and over time it forms a pustular lesion pus as in your picture steps to solve this avoid tight undergarments no undergarments at night so the area will be dry abstinence until the infection resolves have a course of antibiotics which will reduce infections and pain take tablet azithromycin 500 my two tablets after food fluconazole 150 my after food capsule amoxicillin and clavulanic acid 625 my twice daily for five days use pain killers with serratiopeptidase use vaginal wash douches and avoid any vaginal discharge soiling the area do not use any local antibiotic ointments this will form antibioma to reduce the local edema and pain you can apply little glycerine and magnesium sulfate ointment over the painful area then place a small gauze over it this will immediately reduce the pain apply twice daily for three to five days