Is It a Wart? Vaginal Growths and When to See a Doctor - Obstetrics and Gynecology

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Hello doctor, I suddenly noticed a bump below my vaginal opening today.
Yesterday, I only experienced some itching and pain, and I thought it was a recurrence of a yeast infection, so I applied some medication myself.
However, while showering in the evening, I discovered a bump at the lower part of my vaginal opening that is somewhat itchy and painful.
I have only been sexually active for the past two months.
Should I monitor it further, or should I see a doctor immediately? Since my period is due tomorrow, should I wait until after my period to see a doctor? Will it go away on its own? Is it possible that it could be genital warts? What is the likelihood of that?

Su Peizhu, 10~19 year old female. Ask Date: 2019/01/31

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I suddenly developed a bump below the vaginal opening today.
Yesterday, I only experienced some itching and pain, and I thought it was a recurrence of a yeast infection, so I applied some medication myself.
However, while showering at night, I noticed a bump at the bottom of the vaginal opening that is somewhat itchy and painful.
I have only started having sexual intercourse in the past two months.
Should I observe it for a while longer, or should I see a doctor immediately?
Answer: You should see a doctor immediately because my period is due tomorrow.
Should I wait until after my period to see a doctor?
Answer: Menstruation does not affect the examination.
Will it go away on its own? Could it possibly be genital warts? What is the likelihood?
Answer: A physical examination is necessary.

Reply Date: 2019/01/31

More Info


When it comes to vaginal growths, understanding the nature of these growths is crucial for determining the appropriate course of action. Based on your description, it sounds like you have developed a new growth near the vaginal opening that is accompanied by itching and pain. Given your recent sexual activity and the symptoms you are experiencing, it is important to consider several possibilities, including warts, infections, or other dermatological conditions.

Warts, specifically genital warts, are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray swellings in the genital area and may be itchy or uncomfortable. The likelihood of developing genital warts increases with sexual activity, especially if you have multiple partners or if your partner has warts. However, not all growths in the genital area are warts; they could also be cysts, skin tags, or other benign conditions.

Given that you have recently started engaging in sexual activity, it is wise to be vigilant about any new symptoms. While some growths may resolve on their own, others may require medical intervention. Here are some key points to consider:
1. Observation vs. Immediate Action: While it may be tempting to wait and see if the growth resolves on its own, it is generally advisable to consult a healthcare provider sooner rather than later, especially since you are experiencing discomfort. Delaying a visit could lead to complications if the growth is indeed a wart or another condition that requires treatment.

2. Timing of Your Appointment: Since your menstrual cycle is about to begin, you might wonder whether to wait until after your period to see a doctor. While some women prefer to wait, it is often better to seek medical advice as soon as possible. Many healthcare providers can still perform examinations during your period, and they can provide guidance on how to manage any discomfort you may be experiencing.

3. Potential for Self-Resolution: Some benign growths may resolve without treatment, but this is not guaranteed. If the growth is a wart, it may persist or even multiply if left untreated. Therefore, early intervention can be beneficial.

4. Risk of HPV and Other STIs: Engaging in sexual activity increases the risk of sexually transmitted infections (STIs), including HPV. If you suspect that the growth could be a wart, it is essential to get tested for other STIs as well, as many infections can be asymptomatic.

5. Consulting a Healthcare Provider: When you see a doctor, they will likely perform a physical examination and may conduct tests to determine the nature of the growth. Depending on the diagnosis, treatment options may include topical medications, cryotherapy (freezing the wart), or other procedures.

In summary, while it is understandable to want to wait and see if the growth resolves on its own, it is generally best to consult a healthcare provider as soon as possible, especially given your symptoms and recent sexual activity. Early diagnosis and treatment can help alleviate discomfort and prevent potential complications. Remember, your health is important, and seeking medical advice is a proactive step in ensuring your well-being.

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