Since povidone-iodine (Betadine) is not providing relief and the boils have been recurring for a month, I highly recommend seeing a healthcare provider or gynecologist. These recurring lesions may require prescription treatments, such as oral generic antibiotics or targeted topical therapies, to clear completely. In the meantime, please avoid squeezing or popping them, as this can spread the infection. Applying a warm, clean compress to the area for 10 to 15 minutes a few times a day can help soothe the discomfort and encourage natural healing. Please seek a professional evaluation to get the proper care.

A wound that hasn't healed in two months, even with well-managed diabetes, needs specialized attention. Long-term use of povidone-iodine (Betadine) can sometimes delay new tissue growth. I highly recommend seeing a wound care specialist. They may suggest switching from harsh antiseptics to gentle sterile saline washes and advanced moist dressings, such as hydrogels. While your silver-based ointment (Mega Heal) helps fight bacteria, a specialist can evaluate if you need advanced diabetic wound therapies or pressure offloading to help this finally heal. Please have a healthcare provider examine it soon to ensure you get the targeted care you deserve.

Yes, it is very important to clean the wound first. Gently wash the area with mild soap and warm water, then pat it dry. You can apply the povidone-iodine (Betadine) ointment one to three times daily, and cover it with a sterile bandage to keep it protected. Since you noticed yellow pus, which can be a sign of infection, please monitor it closely. If the redness spreads, the pain increases, or you develop a fever, please have a healthcare professional look at it right away to ensure it heals safely.

Because it has not healed for over four weeks and is leaking pus, it likely has a bacterial infection that topical Betadine ointment cannot clear on its own. It is very important to have a healthcare professional examine this wound. They can properly clean it and prescribe the correct oral generic antibiotic, such as cephalexin or amoxicillin-clavulanate, to fight the infection from the inside. For pain relief in the meantime, you can try over-the-counter generic ibuprofen or acetaminophen. Please see a doctor soon so we can get this healing safely for you.

Since standard treatments aren't helping, you may need a prescription-strength ointment to relax the sphincter muscle, such as generic nitroglycerin or diltiazem ointment. Applying generic lidocaine gel directly to the area can also provide temporary, immediate numbing relief, especially before bowel movements. Please ensure you are taking stool softeners to prevent straining. I highly recommend contacting your doctor or a specialist.

The skin of the vulva is incredibly sensitive. Applying povidone-iodine (Betadine) can sometimes cause contact dermatitis, leading to inflammation, swelling, and irritation. The new painful bump may be a reactive, swollen gland or a localized irritation. Please stop using the ointment immediately. Rinse the area gently with plain warm water, pat dry, and wear loose cotton underwear. I highly recommend having a healthcare provider examine the new bump to ensure it heals safely and to recommend a gentle, soothing treatment.