Can cauliflower remain unchanged in size or not increase for several months?
Hello, doctor.
About six months to a year ago, I noticed some small, pointed protrusions at the junction of the vaginal opening and the labia minora after taking a shower and looking in the mirror.
They are not large, just two to three of them (at that time, I had not engaged in sexual intercourse).
Three months ago, I visited a gynecologist due to ovulation pain, and I wasn't too concerned about this issue.
During the pelvic examination, the doctor performed a Pap smear but I did not mention the protrusions, and the doctor did not observe any symptoms suggestive of genital warts.
The Pap smear results were normal (I had engaged in sexual intercourse during that time but used a condom throughout).
Recently, I've started to feel a bit anxious after seeing posts from others mentioning genital warts that might not be discovered until years later.
I would like to ask if these could be false genital warts.
However, I read that they tend to grow symmetrically, and the ones I have are located directly below and slightly to the right.
Since I first noticed them, they have not grown or increased in number, and there is no significant color difference compared to the surrounding skin.
Thank you for your help.
🙏
Nìmíng, 20~29 year old female. Ask Date: 2020/03/03
Dr. Chen Jiansheng reply Urology
If there has been no increase or change, it is possible that it is simply an elevated sebaceous gland or a benign papilloma change.
Reply Date: 2020/03/03
More Info
When it comes to the presence of persistent growths in the genital area, particularly in the context you described, it is essential to approach the situation with caution and a clear understanding of what these growths might represent. Based on your description, it seems you have noticed small, pointed protrusions located at the junction of the vaginal opening and the labia minora. You mentioned that these growths have not changed in size or number over the past several months, which is a positive sign.
Firstly, it is important to differentiate between various types of growths that can occur in the genital area. The term "false warts" could refer to a variety of benign conditions, including skin tags, seborrheic keratosis, or even normal anatomical variations. However, the concern often arises regarding genital warts, which are caused by the human papillomavirus (HPV). HPV can indeed remain asymptomatic for years, and while some strains are associated with warts, others are linked to more serious conditions, including cervical cancer.
Given that your Pap smear was normal and that your doctor did not express concern during your examination, it is likely that what you are experiencing is not indicative of genital warts (condylomata acuminata). The fact that you have not engaged in unprotected sexual intercourse also reduces the likelihood of contracting HPV, although it is important to note that HPV can be transmitted through skin-to-skin contact.
The key points to consider regarding your situation are:
1. Observation: Since the growths have not changed in size or number, this is generally a reassuring sign. Many benign conditions can present as small protrusions without causing any harm.
2. Consultation: If you continue to feel anxious about these growths, it would be prudent to revisit your healthcare provider. You can specifically ask for a thorough examination of the area in question. If necessary, your doctor may recommend a biopsy to definitively rule out any concerns.
3. Education: Understanding the nature of HPV and its potential implications is crucial. While some strains can lead to warts, others can be more serious. Regular screenings, such as Pap smears, are essential for early detection of any changes in cervical health.
4. Prevention: If you are concerned about HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine is effective in preventing the most common strains of HPV that cause genital warts and cervical cancer.
5. Self-Care: Maintain good genital hygiene and avoid any irritants that could exacerbate the area. If you notice any changes, such as growth in size, color changes, or discomfort, seek medical advice promptly.
In conclusion, while it is understandable to feel concerned about any unusual growths, the combination of your normal Pap smear and the stability of the growths you described suggests that they are likely benign. However, if your anxiety persists, do not hesitate to seek further evaluation from a healthcare professional. They can provide reassurance and, if necessary, appropriate treatment options. Remember, proactive health management is key to maintaining your well-being.
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