<s>[INST] I am a 54 yo woman that has been using hormone replacement therapy for several yrs. I have been noticing pimple like bumps on my labia and now my upper inner thighs. I have never had anything like this before. Could it be related to my hormone creams? I rub them on my inner forearms. I had a total hysterectomy at age 36. If it isn t related to my hormones, wha could the pimples be from? They appear to be spreading.g [/INST] HiT hank you for asking ChatDoctorI have gone through your query. What is the bump looks like? Is it like fluid filled eruptions? Any associated itching or burning sensation? If you send a picture then it will be more helpful in analyzing it. If it is fluid filled rash associated with burning and itching sensation then it is most likely genital herpes and in such case acyclovir cream for local application and Oral acyclovir will be helpful. But if it is just itching and rashes which are non-fluid filled then it can be due to fungal infection or allergic reaction to something you used recently. In such case I advise ointments witChatDoctorbination of antifungal like clotrimazole and corticosteroid dexamethasone. Hope this may help you. Let me know if anything is not clear. Thanks. </s>