Is It a STD? Urological Concerns and Symptoms - Urology

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Is it a sexually transmitted infection (STI)?


About six months ago, I noticed some small growths near the frenulum.
I didn't pay much attention to them at first, but recently I've started to worry.
Although they are not painful, itchy, have not grown, and are not discharging any fluid or blood, I would still like to have a doctor take a look.
I'm concerned that it might be genital warts.
I haven't had any sexual intercourse in the past six months.

Xiao Niu, 20~29 year old female. Ask Date: 2020/01/31

Dr. Du Shixi reply Urology


Hello: This area cannot be diagnosed, but it does not seem typical.
You should consult a urologist for an examination.
Wishing you good health.
If there is an increase in size or number, you should be more cautious.
Wishing you good health.

Reply Date: 2020/01/31

More Info


When it comes to concerns about urological symptoms, particularly the presence of lumps or growths in the genital area, it's essential to approach the situation with caution and a clear understanding of potential causes. Based on your description of having noticed a cluster of small bumps near the ligaments (likely referring to the genital area) for about six months, and considering that they are painless, not growing, and not discharging any fluids or blood, there are several possibilities to consider.

Firstly, it’s important to note that not all growths in the genital area are sexually transmitted infections (STIs) like genital warts (caused by the human papillomavirus, or HPV). While genital warts can appear as small, flesh-colored or gray bumps, they typically arise after sexual contact with an infected partner. Since you mentioned that you have not engaged in sexual activity for the past six months, the likelihood of this being an STI is reduced, but it is not entirely ruled out, especially if there was any sexual contact prior to that period.

Other benign conditions could explain the bumps you are experiencing. For instance, sebaceous cysts are common and can occur in the genital area. These cysts are typically harmless and filled with a fatty substance. Similarly, pearly penile papules are small, harmless bumps that can appear around the corona of the penis and are considered a normal anatomical variant. They are not associated with any disease and do not require treatment.

However, it is crucial to differentiate between benign conditions and those that may require medical attention. Conditions such as molluscum contagiosum, which is a viral infection that leads to small, painless bumps, or other dermatological issues could also present similarly. In rare cases, more serious conditions such as penile cancer can present as growths, although this is less common, especially in younger individuals without significant risk factors.

Given your concerns and the fact that you have been experiencing these symptoms for six months, it is advisable to consult a healthcare professional, preferably a urologist or a dermatologist specializing in genital health. They can perform a physical examination and may recommend further testing, such as a biopsy, if necessary, to determine the nature of the growths.
In summary, while your symptoms may not immediately suggest an STI, it is essential to seek medical advice to rule out any serious conditions and to receive appropriate guidance. Early intervention can provide peace of mind and ensure that any necessary treatment is initiated promptly. Remember, it’s always better to err on the side of caution when it comes to your health.

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