Growths in the Genital Area During Pregnancy: What to Know - Urology

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Why do small flowers grow?


Hello Doctor: I am currently 32 weeks pregnant.
Recently, I noticed a small growth between my vulva and anus while taking a shower.
Today, I asked my husband to take a look, and he said it looks very much like a cauliflower.
I searched for images of cauliflower on the internet, and he confirmed that it resembles cauliflower.
I would like to ask, my husband and I have been together for three years, and we have never had sexual relations with anyone else.
Additionally, since becoming pregnant, we have not engaged in sexual activity for about 3 to 4 months.
Is it possible that I have genital warts? I also checked under my tongue, which I hadn't paid much attention to before, but now I am worried about genital warts, and I think I might have noticed a few growths there.
Can genital warts appear under the tongue? I also have a growth on the edge of my gums that is oozing pus; I personally think it looks more like a dental abscess.
Can genital warts ooze pus?

QQ, 30~39 year old female. Ask Date: 2017/01/09

Dr. Du Shixi reply Urology


Hello: Cauliflower florets need to be quite large to produce pus.
Instead of worrying at home, it's best to consult a physician for an examination.
The transmission of cauliflower (genital warts) primarily occurs through direct contact, although there have been reports of indirect transmission as well.
It is advisable to visit a hospital for a check-up.
Thank you for your inquiry.

Reply Date: 2017/01/09

More Info


During pregnancy, various changes can occur in the body, including the development of growths in the genital area. It is not uncommon for pregnant women to notice new lumps or bumps, and understanding these changes is essential for maintaining both maternal and fetal health.
From your description, it sounds like you have discovered a growth that resembles a "cauliflower" shape, which raises concerns about genital warts (also known as condylomata acuminata). These warts are caused by certain strains of the human papillomavirus (HPV), a sexually transmitted infection. However, it is important to note that HPV can remain dormant for years, and it is possible to have contracted it before your pregnancy without any visible symptoms until now.

1. Possibility of HPV: Given that you and your husband have been monogamous and have not engaged in sexual activity for several months, the likelihood of developing genital warts during this time is low. However, HPV can be transmitted through skin-to-skin contact, and some strains can be asymptomatic for long periods. If you are concerned about the growth, it is advisable to consult with your healthcare provider for a proper examination and diagnosis.

2. Growths in the Genital Area: Besides HPV-related warts, there are other benign conditions that can cause similar growths during pregnancy. These include:
- Skin tags: Small, benign growths that can appear in areas where skin rubs against skin.

- Molluscum contagiosum: A viral infection that leads to small, painless bumps.

- Seborrheic keratosis: Non-cancerous skin growths that can appear as raised, wart-like lesions.

3. Growths in the Mouth: You mentioned noticing bumps under your tongue and on your gums. While HPV can cause lesions in the oral cavity, it is more common for these types of growths to be related to other conditions, such as:
- Fibromas: Benign tumors that can develop in the mouth.

- Mucocele: A cyst that occurs when a salivary gland is blocked.

- Dental abscess: If the growth is painful and discharging pus, it may indicate an infection related to a tooth or gum disease.

4. Symptoms and Signs: It is crucial to monitor any growths for changes in size, color, or symptoms such as pain, bleeding, or discharge. If the growths are painful or if you notice any unusual symptoms, it is essential to seek medical attention promptly.

5. Consultation with Healthcare Provider: Given your concerns, I recommend scheduling an appointment with your obstetrician or a dermatologist who specializes in skin conditions during pregnancy. They can perform a thorough examination and may conduct tests, such as a biopsy, if necessary, to determine the nature of the growths.

6. Prevention and Care: While it may not be possible to prevent all growths during pregnancy, maintaining good hygiene, avoiding irritants, and regular prenatal check-ups can help manage any concerns that arise. If you have a history of HPV or other sexually transmitted infections, discussing this with your healthcare provider can help you understand your risks and any necessary precautions.

In conclusion, while it is understandable to be concerned about new growths during pregnancy, many are benign and manageable. Consulting with a healthcare professional will provide you with the best guidance and peace of mind regarding your health and the health of your baby.

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