Growths in the Genital Area: Is It Warts or Something Else? - Urology

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I'm not sure if it's cauliflower?


Hello Doctor: I would like to ask about something I discovered in my private area over the past few days.
It seems like I have a growth that resembles genital warts.
However, while I was showering, I accidentally "picked it off." After "picking it off," there was no wound, so I'm not sure if it was indeed genital warts.
Occasionally, I experience some itching in that area, but I'm unsure if it's due to the hot and humid weather or an infection causing the itchiness.
The itching isn't frequent, but I'm still a bit concerned because of the growth, even though I removed it.
If I go for an examination, what would the procedure be like? Would it involve a blood test or a Pap smear?

Zhu, 20~29 year old female. Ask Date: 2017/07/06

Dr. Du Shixi reply Urology


Hello: If there has been no unsafe sexual behavior, the chances of developing genital warts are low.
My suggestion is to seek medical attention if any new growths appear.
Currently, visiting a hospital may not provide a definitive diagnosis, but if there has been unsafe sexual behavior, it is advisable to consult a gynecologist, as genital warts can also develop inside the vagina, which requires an internal examination for confirmation.
Wishing you good health.

Reply Date: 2017/07/06

More Info


When it comes to growths in the genital area, it is essential to approach the situation with caution and seek professional medical advice. Based on your description, it sounds like you may have encountered a growth that resembles genital warts, which are caused by certain strains of the human papillomavirus (HPV). However, without a proper examination, it is difficult to determine the exact nature of the growth.

Genital warts typically appear as small, flesh-colored or gray growths that can be raised or flat, and they may cluster together, resembling cauliflower. The fact that you were able to "pick off" the growth without any bleeding or pain could indicate that it was not deeply rooted, but it is still important to note that warts can sometimes be subtle and may not always present with typical symptoms.

The itching you are experiencing could be due to several factors, including irritation from moisture, friction, or even an infection. It is not uncommon for the genital area to become itchy due to heat and humidity, especially in warmer climates or during the summer months. However, persistent itching, especially in conjunction with unusual growths, warrants further investigation.

If you decide to seek medical attention, a healthcare provider will typically perform a physical examination of the area. They may use a visual inspection to assess the growth and determine if it resembles genital warts or another condition. In some cases, they may recommend a biopsy, where a small sample of tissue is taken for laboratory analysis to confirm the diagnosis.

Blood tests are generally not used to diagnose genital warts, but they may be performed if there is a suspicion of other sexually transmitted infections (STIs). Additionally, a Pap smear may be recommended for women as part of routine gynecological care, especially if there are concerns about HPV and cervical health.

It is crucial to avoid self-diagnosing based on online research, as many conditions can present similarly. Conditions such as folliculitis, molluscum contagiosum, or even benign skin tags can also occur in the genital area and may require different treatments.
In summary, while it is understandable to be concerned about growths in the genital area, the best course of action is to consult a healthcare professional. They can provide a thorough examination, accurate diagnosis, and appropriate treatment options. Remember that early intervention is key in managing any potential health issues, and addressing your concerns with a qualified medical provider is the most effective way to ensure your health and peace of mind.

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