and Treating Molluscum Contagiosum in the Genital Area - Dermatology

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Milia in the genital area?


Hello Doctor, I previously had many small bumps on my labia majora.
I visited a gynecologist who diagnosed them as miliaria, a condition with no known cure or identifiable cause.
It is harmless and can be coexisted with, but recently, they have been increasing in number (not just one or two, but densely clustered on the labia majora near the inner area).
I am considering laser removal but am unsure which department to consult at the hospital for the removal of miliaria, especially since it is in a sensitive area.
I kindly ask for your advice.
Thank you, Doctor!

A Jin, 10~19 year old female. Ask Date: 2019/01/17

Dr. Wu Yuxin reply Dermatology


It's not difficult to remove it; you might want to look for a dermatologist or clinic with female physicians, as there may be a better chance of finding what you need.

Reply Date: 2019/01/17

More Info


Molluscum contagiosum is a viral skin infection caused by the molluscum contagiosum virus (MCV), which is a member of the poxvirus family. It typically presents as small, raised, pearly-white or skin-colored bumps on the skin, often with a central dimple. While it can occur anywhere on the body, it is particularly common in areas that are prone to friction or irritation, including the genital region.

In your case, the diagnosis of molluscum contagiosum on the labia majora suggests that the virus has taken hold in a sensitive area. The condition is generally benign and self-limiting, meaning that it often resolves on its own without treatment over time. However, the presence of multiple lesions, especially if they are increasing in number, can be concerning for many patients, both for cosmetic reasons and the potential for spreading the virus to others.

When considering treatment options, it is essential to consult with a healthcare provider who specializes in dermatology or gynecology. These specialists can provide a thorough evaluation and discuss the most appropriate treatment options for your specific situation. Common treatments for molluscum contagiosum include:
1. Cryotherapy: This involves freezing the lesions with liquid nitrogen, which can effectively destroy the molluscum bumps.

2. Curettage: This is a minor surgical procedure where the lesions are scraped off using a small instrument.

3. Topical Treatments: Prescription creams or solutions, such as imiquimod or cantharidin, can be applied to the lesions to help stimulate the immune response or cause the lesions to blister and fall off.

4. Laser Therapy: In some cases, laser treatment may be used to remove the lesions, especially if they are extensive or in sensitive areas.

5. Observation: If the lesions are not bothersome, some healthcare providers may recommend simply monitoring the situation, as molluscum contagiosum often resolves on its own, especially in healthy individuals.

Given your concern about the increasing number of lesions, it would be prudent to seek an appointment with a dermatologist who has experience in treating viral skin infections, particularly in sensitive areas. They can provide you with a tailored treatment plan based on the severity of your condition and your personal preferences.

It is also important to note that molluscum contagiosum is contagious, so it is advisable to avoid direct skin-to-skin contact with others until the lesions have resolved. Practicing good hygiene, such as not sharing towels or personal items, can help prevent the spread of the virus.

In summary, while molluscum contagiosum is generally harmless, the increasing number of lesions warrants a professional evaluation. A dermatologist or gynecologist can offer effective treatment options and help you manage the condition appropriately. Don't hesitate to reach out to a specialist to discuss your concerns and explore the best course of action for your situation.

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