Effective Itch Relief for Pseudo Warts: What Creams to Use?

Are there anti-itch creams for pseudocondyloma acuminatum at the vaginal opening?

Hello Doctor: I have never had sexual intercourse, and I started occasionally going to the swimming pool for spa treatments about two months ago.
One night last month, I suddenly experienced intense itching in my genital area, to the point where I couldn't sleep.
The itching was unbearable, so I applied an anti-itch cream (AD cream).
I had a similar experience with genital itching years ago, and after applying the AD cream, it usually resolved in about 3-4 days.
However, this time, the relief lasted only a few hours before the itching returned.
About a week later, while showering, I felt something hard inside my genital area.
Since I couldn't see it, I used a camera to take pictures, and I discovered that there were several bump-like growths resembling pimples at the vaginal opening and labia.
After comparing the photos online for a long time, I suspect it might be "pseudowarts." (How can I provide photos for consultation?) Although the intense itching has subsided over the past month, I still occasionally experience itching, which is particularly bothersome at work.
The internet suggests that pseudowarts do not require treatment, but the itching is quite irritating! Is there any anti-itch cream that you would recommend?

Memeh, 30~39 year old female. Ask Date: 2020/09/09

Dr. Wu Xianghui reply Obstetrics and Gynecology

Vaginal infections can cause abnormal discharge, itching, fever, and lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment should be accompanied by comprehensive health education.
It is recommended to consult a gynecologist for evaluation in an outpatient setting.

Reply Date: 2020/09/09

More Info

When dealing with the discomfort of pseudo warts, particularly in sensitive areas such as the genital region, it's essential to approach treatment with caution and an understanding of the underlying causes. Pseudo warts, often mistaken for genital warts, can arise from various factors, including irritation, friction, or even fungal infections. Given your description of the symptoms, including intense itching and the presence of small, wart-like bumps, it is crucial to consider both topical treatments and the potential need for a medical evaluation.

Firstly, it is important to note that while pseudo warts may not require treatment in all cases, the persistent itching and discomfort you are experiencing warrant attention. Over-the-counter creams like hydrocortisone can be effective for reducing inflammation and itching. Hydrocortisone is a mild topical steroid that can help alleviate symptoms of irritation and inflammation. However, it is advisable to use it sparingly and not for prolonged periods, as overuse can lead to skin thinning and other side effects.

Another option is to use antifungal creams if there is a suspicion of a fungal infection, which can sometimes mimic the appearance of warts. Creams containing clotrimazole or miconazole can be applied to the affected area if a fungal infection is suspected. These medications work by inhibiting the growth of fungi and can help relieve itching associated with fungal infections.

For immediate itch relief, you might also consider using soothing creams that contain ingredients like aloe vera or calendula, which are known for their calming properties. These can provide temporary relief from itching without the potential side effects associated with steroid creams.

If the itching persists despite using topical treatments, or if you notice any changes in the appearance of the bumps, it is crucial to consult a healthcare professional. A dermatologist or a gynecologist can provide a thorough examination and may recommend further treatments, such as cryotherapy or laser therapy, if necessary. They can also help confirm whether the bumps are indeed pseudo warts or if they represent another condition that may require different management.

In terms of providing photos for consultation, many healthcare providers now offer telemedicine services where you can upload images securely for evaluation. This can be a convenient way to get professional advice without needing an in-person visit, especially if you are concerned about privacy or discomfort.

In summary, while pseudo warts may not always require treatment, the persistent itching you are experiencing is a valid concern. Over-the-counter options like hydrocortisone or antifungal creams may provide relief, but if symptoms persist, seeking professional medical advice is the best course of action. A healthcare provider can offer a definitive diagnosis and tailored treatment plan to address your specific needs.

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