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Milia on labia majora

Hi! For as long as I can remember, I have lots of milia on my labia majora. I'm quite clean and wash the area often but it's not enough and they make me rather self-conscious.  I already have an adapalene cream .1% for the milia around my eyes but I see that it says I shouldn't use the cream on my genitals. What can I do? Is there a different type of cream that's safer for that area? Is it worth it going to get them extracted every few months at a dermatologist?

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Avatar universal
MEDICAL PROFESSIONAL
Hello,
It is important to get a clinical examination done. Do not pop these bumps. This can cause spread of infection or get them infected. They may clear in a few weeks or persist for months or longer. Often no treatment is required. Few milia may be removed with a needle. The treatment option depends on the number of milia and associated symptoms. Consult a dermatologist.
Best luck and regards!
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Avatar universal
Hey, just wanted you to know that you're not alone. I have the exact same thing. I'd love to solve it with a few jabs but I seem to have hundreds of them so it would shred my labia to bits. I've had them since my teens and only seem to have more over time. They definitely are milia but it feels like there is no help out there for this problem. It's categorised as harmless but I also feel super self conscious about it. I wish I could just deal with it efficiently. Why should I live with hundreds of milia on my intimate area?!!
Anyways just thought you should know that there are others and please let me know if you find a solution. Xx
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Avatar universal
You don't say how old you are.
Keratin milia usually don't go away as the keratin dead skin debris is trapped inside the milia.  
I'm a female in my 50's and six years ago had a keratin cyst on my back near my spine.  Normally these larger cysts usually these have a thick wall that unless you remove the wall, they can refill over time.  My general physician excised mine with a tool that looked like a mini-box cutter.  So, the doctor lanced it, squeezed out the paste-like material and doused it with antibacterial cleanser.  He didn't remove the "root" and a few years later it slightly refilled.  

In the past six months I had ones that appeared on my labia major, about three very small bumps and knew from the feel of them that they were keratin cysts.  I got them after having painful intercourse with my husband after we had not had sex for a long time, which at my age, the skin was very thin there due to menopause.  This is one of the symptoms of menopause due to low estrogen levels.    After going to my gynecologist about this vaginal tearing problem she  prescribed estrogen cream to improve the skin properties.

I took care of the cysts myself by putting a small lit light bulb in a five-gallon bucket, lining the top of the bucket with a towel and by sitting down on it and using a vanity mirror hung from the edge of the bucket, I used a sterilized needle (like a craft needle, not a slender hand-sewing needle) jabbed firmly on the top of each bump where I could feel it popped.  Then I gently squeezed each and a spiral of yellowish paste came out of each, (smelled like Limberger cheese) .  I cleaned the area with a cotton ball that I applied chlorhexidine cleanser to.  What a relief?  Before,  I had the sense of itchiness and irritation where these tiny bumps were, but no more.  
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