Pseudo Warts vs. Genital Warts: Key Insights for Diagnosis

Q: Pseudo Warts vs. Genital Warts: Key Insights for Diagnosis

Hello： Traditionally, the diagnosis of cauliflower lesions is based on the appearance of the lesions and the site of infection. <br>It is also possible to perform a biopsy for pathological confirmation, and now viral DNA testing and typing can be conducted as well. <br>It is reco

Pseudocondyloma or sharp condyloma

I have been dating my boyfriend for about ten months.
Two months ago, we had a hot spring visit where we had naked contact with a public shower chair.
Around early September, I noticed small growths on the outer labia that looked somewhat like a chicken comb.
There were also a few pimple-like bumps on the skin next to the labia, and during that time, I experienced increased discharge and itching.
Could this condition be genital warts, or is it also possible that it could be pseudocondylomata? I visited a gynecologist, but the doctor did not ask any questions and directly diagnosed it as genital warts.
However, I have seen many people online say that misdiagnosis is common! Since my boyfriend has shown no symptoms, would getting tested for infections through blood tests confirm whether or not there is an infection?

Bonnie, 20~29 year old female. Ask Date: 2016/09/20

Dr. Sun Hongshun reply Urology

Hello: Traditionally, the diagnosis of cauliflower lesions is based on the appearance of the lesions and the site of infection.
It is also possible to perform a biopsy for pathological confirmation, and now viral DNA testing and typing can be conducted as well.
It is recommended that you consult with a urologist, gynecologist, or infectious disease specialist.

Reply Date: 2016/09/20

More Info

Understanding the distinction between pseudo warts and genital warts is crucial for accurate diagnosis and appropriate treatment. Genital warts, medically known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They typically present as small, flesh-colored or gray growths that can appear in clusters, resembling a cauliflower. These warts can be itchy or uncomfortable and may be associated with increased vaginal discharge, as you described.

On the other hand, pseudo warts can refer to various benign skin lesions that may mimic the appearance of genital warts but are not caused by HPV. These can include seborrheic keratosis, skin tags, or other benign growths. The key difference lies in their etiology and potential for transmission. Pseudo warts do not carry the same risk of transmission as genital warts and are not associated with HPV.

In your case, the appearance of small, chicken comb-like growths on the labia, along with increased discharge and itching, raises the suspicion for genital warts. However, it is essential to consider other possibilities, including pseudo warts or other dermatological conditions. The fact that your boyfriend has shown no symptoms does not rule out the possibility of HPV infection, as many individuals can be asymptomatic carriers.

When it comes to diagnosis, a thorough clinical examination by a healthcare provider is essential. While your gynecologist diagnosed you with genital warts without a detailed consultation, it is important to note that misdiagnosis can occur. The appearance of the lesions, along with your symptoms, should be carefully evaluated. If there is any uncertainty, a biopsy of the lesion can provide definitive information regarding its nature.

Regarding testing, HPV testing can be performed, but it is not typically done for men, as there are no approved tests for HPV in males. However, if you and your boyfriend are concerned about potential HPV infection, he can undergo a clinical examination for any visible lesions. If he has no symptoms, the likelihood of him being a carrier is lower, but it is not impossible.

In summary, while your symptoms and the appearance of the lesions suggest genital warts, it is essential to consider the possibility of pseudo warts or other conditions. A follow-up appointment with a gynecologist for a more comprehensive evaluation, including a discussion of your symptoms and a potential biopsy, would be advisable. Additionally, open communication with your partner about sexual health and potential testing can help both of you make informed decisions regarding your health.

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