Should You Worry About Non-Painful Growths in the Vaginal Area? - Urology

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Hello, doctor.
About a year ago, I noticed two to three raised lesions between the vaginal opening and the labia minora while looking in the mirror.
The color is similar to the surrounding skin, and they are neither painful nor itchy.
At the time of discovery, I had not engaged in sexual intercourse.
I have since seen a gynecologist, and during a pelvic exam with a Pap smear, no abnormalities were noted (I did not mention the raised lesions at that time).
The Pap smear results were normal (I had engaged in sexual intercourse since then, and it was all safe sex).
As of now, the lesions have neither increased in number nor size.
Should I be concerned? I completed the nine-valent HPV vaccination in October of last year.

Niming, 20~29 year old female. Ask Date: 2020/03/03

Dr. Du Shixi reply Urology


Hello: If there is no unsafe sexual behavior, the chances of contracting genital warts are low.
Sometimes, certain skin growths may be mistaken for genital warts, but most clinical physicians can rule this out during an examination.
Wishing you good health.
If you are really concerned, you can visit a gynecologist at a hospital.

Reply Date: 2020/03/03

More Info


When it comes to non-painful growths in the vaginal area, it is understandable to feel concerned, especially when you first notice them. However, based on the information you provided, there are several reassuring points to consider.

Firstly, the fact that the growths are non-painful and do not itch is a positive sign. Many benign conditions can cause growths in the genital area, such as skin tags, sebaceous cysts, or even normal anatomical variations. These types of growths are often harmless and do not require treatment unless they cause discomfort or cosmetic concerns.

You mentioned that you had a gynecological examination and a Pap smear, both of which returned normal results. This is an important indicator that there are no underlying issues that need immediate attention. Gynecologists are trained to identify abnormalities during examinations, and if they did not express concern, it is likely that the growths are benign.

Additionally, you noted that the growths have not increased in size or number since you first noticed them. Stability in the appearance of these growths is another reassuring factor. Many benign growths remain unchanged over time, and the absence of any new symptoms is a good sign.

The fact that you have received the HPV vaccine is also relevant. The nine-valent HPV vaccine is effective in protecting against several strains of the human papillomavirus, which can lead to cervical cancer and other genital warts. While the vaccine does not eliminate the risk of all HPV types, it significantly reduces the likelihood of developing HPV-related conditions.

In general, if the growths remain unchanged and you are not experiencing any discomfort, it is reasonable to monitor them rather than seek immediate intervention. However, it is always a good idea to maintain open communication with your healthcare provider. If you notice any changes in the growths, such as an increase in size, color changes, or the onset of pain or itching, you should schedule a follow-up appointment to discuss your concerns.

For peace of mind, you might consider bringing up the growths during your next gynecological visit, even if they have not changed. This way, your doctor can provide a thorough examination and reassurance. Keeping track of any changes over time can also be helpful in assessing whether further evaluation is necessary.

In summary, while it is natural to worry about any new growths in the vaginal area, the characteristics you described—non-painful, stable, and previously evaluated by a healthcare professional—suggest that there is likely no cause for concern. Regular check-ups and open communication with your healthcare provider will help ensure your ongoing health and peace of mind.

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