Unknown Lesion on the Vulva

A Bartholin cyst is a painless swelling on one side.

A Bartholin abscess is very tender, unilateral, with swelling and redness.

Primary syphilis is a painless, wet ulcer with swelling around it.

Secondary syphilis have multiple moist lesions

Herpes start off as 1-2 mm blisters, which then break open, leaving painful ulcers.

LGV (lymphogranuloma venereum)

Vulvar Intraepithelial Neoplasia (VIN III) gives a focal, white lesion.

A vulvar hematoma, seen here in the patient's left labia majora, is extremely painful.

Monilia (yeast, candida) of the vulva is an itchy red rash.

Lichen sclerosis gives a white discoloration with loss of anatomic detail.

Molluscom contagiosum are painless, raised lesions of 1-2 mm, with a central dimple.

An inclusion cyst is a painless cyst at the opening of the vagina.

Chancroid has an irregular, wet ulcer.

Tinea Cruris provides a raised, red, intensely itchy rash.

Hypertrophic vulvar dystrophy gives a diffuse, itchy, white lesion.

Condylomas (venereal warts) are small, painless, couliflower-like growths.

Vulvar abcess is tense and painful.

Skene's gland abscess.

Melanosis has multiple, flat, asymptomatic lesions.

Vulvar cancer is an erosive, friable lesion.

Vulvar vestibulitis causes painful intercourse.

Runner's rash is a painful abrasion.