Growths: Is It Genital Warts or Something Else? - Urology

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Suspected cauliflower (likely referring to genital warts)?


Hello Doctor: I have a raised, fleshy growth located just below my vaginal opening, which is dark brown in color.
I have noticed it for the past 7 years.
During this time, I consulted with a gynecologist who mentioned that as long as it doesn't grow larger, it shouldn't be a concern.
It's been 7 years, and it hasn't changed in size or quantity, but I am still very worried because I have no idea what it is.
I am also unsure if it has always been there or if it developed later.
Over the years, my immune system has been quite weak, and I have frequently experienced serious illnesses, yet the growth has never changed.
Could this be genital warts?

Lin Mao, 30~39 year old female. Ask Date: 2021/01/12

Dr. Li Xinyi reply Urology


In principle, it can only be said that if there are significant concerns, the lesion should be excised and sent to the pathology department for examination in order to make a final and accurate diagnosis.

Reply Date: 2021/01/12

More Info


It sounds like you have been dealing with a concerning growth for quite some time, and it's completely understandable to feel anxious about it. Based on your description of a raised, dark-colored growth near the vaginal opening that has been stable for seven years, there are a few possibilities to consider. However, it's important to remember that an accurate diagnosis can only be made through a physical examination by a healthcare professional.

Genital warts, caused by the human papillomavirus (HPV), typically appear as small, flesh-colored or gray growths that can be raised or flat. They can vary in size and may cluster together, resembling a cauliflower. However, the fact that your growth has not changed in size or appearance over seven years is somewhat atypical for genital warts, which can often grow or change over time.

Other possibilities for the growth you are describing could include benign conditions such as seborrheic keratosis, skin tags, or other types of benign tumors. These growths can sometimes appear dark and may be mistaken for warts. Additionally, certain skin conditions, such as molluscum contagiosum, can also present as raised bumps in the genital area, but they usually have a distinct appearance and can be itchy or inflamed.

Given your history of poor immune function and recurrent illnesses, it is also worth considering that your body may respond differently to infections or skin conditions. A weakened immune system can sometimes lead to the persistence of benign growths or may affect how your body responds to viral infections like HPV.

While the previous gynecologist you consulted indicated that the growth is unlikely to cause issues since it has not changed, it is still important to monitor it. If you have any new symptoms, such as itching, pain, or changes in the growth's appearance, you should seek medical attention promptly. Additionally, if you remain concerned about the possibility of it being genital warts or another condition, consider returning to a healthcare provider for a more thorough examination. A dermatologist or a gynecologist with experience in skin lesions can provide a more definitive diagnosis and discuss potential treatment options if necessary.

In summary, while your growth may not appear to be a cause for immediate concern based on its stability, it is always best to err on the side of caution when it comes to changes in your body. Regular check-ups and open communication with your healthcare provider are key to ensuring your health and peace of mind. If you have further questions or concerns, don't hesitate to reach out to a medical professional for personalized advice.

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