Why Can't I Get Rid of Growths on My Vulva? A Dermatology Perspective - Dermatology

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When it comes to growths or lesions on the vulva, it is essential to approach the situation with caution and seek appropriate medical advice. If you have been experiencing growths on your vulva for two months and have not found satisfactory answers or treatment from a gynecologist, consulting a dermatologist is indeed a reasonable next step. Dermatologists specialize in skin conditions, which includes the skin of the vulva, and they can provide a different perspective on the issue.

There are several potential causes for growths in the vulvar area, including benign conditions like cysts, warts, or skin tags, as well as more serious conditions that may require further investigation. For instance, common benign growths include:
1. Sebaceous Cysts: These are small, non-painful lumps that can occur when sebaceous glands become blocked. They are usually harmless but can become infected.

2. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray growths. They may require treatment if they cause discomfort or if there is a concern about their appearance.

3. Skin Tags: These are small, soft pieces of skin that hang off the body. They are generally harmless and can be removed if they become bothersome.

4. Lichen Sclerosus: This is a chronic skin condition that can cause white patches and can lead to scarring. It often requires treatment to manage symptoms.

5. Other Dermatoses: Conditions like eczema or psoriasis can also affect the vulvar area, leading to irritation and growths.

Given that you have already consulted a gynecologist, it is crucial to ensure that any potential sexually transmitted infections (STIs) or other gynecological issues have been ruled out. If the gynecologist has not provided a clear diagnosis or treatment plan, a dermatologist can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the growths.

When visiting a dermatologist, be prepared to discuss your medical history, any symptoms you are experiencing (such as itching, pain, or changes in the growths), and any treatments you have already tried. This information will help the dermatologist make an informed diagnosis and recommend appropriate treatment options.

In terms of treatment, it will depend on the specific diagnosis. For benign conditions, options may include:
- Observation: If the growths are not causing any symptoms, the dermatologist may recommend monitoring them over time.

- Topical Treatments: For conditions like warts or lichen sclerosus, topical medications may be prescribed.

- Surgical Removal: If the growths are bothersome or concerning, minor surgical procedures can be performed to remove them.

In conclusion, if you have persistent growths on your vulva that have not improved with gynecological care, seeking a consultation with a dermatologist is a prudent step. They can provide a specialized evaluation and help you find relief from your symptoms. Always prioritize open communication with your healthcare providers and do not hesitate to seek a second opinion if you feel it is necessary.