Recurring Infections and Mysterious Growths on the Vulva: What to Know

Recurrent infections with the presence of lesions in the vulvar area?

Hello, doctor.
My situation is that in mid-November, after completing a treatment for a Candida and bacterial infection with medication and suppositories, I experienced a recurrence within half a month.
In early December, after a visit to a clinic, I noticed a small black spot on the left side of my labia majora.
By mid-December, I discovered several more small black spots on the right side.
Since I had never had anything like this before, I searched for descriptions online and suspected it might be genital warts.
I immediately went to the clinic, and the doctor said it was likely due to using sanitary pads for too long and did not resemble genital warts.
They prescribed an ointment for me to apply, but there was no improvement, and the spots continued to grow and multiply.

In early January, I visited a hospital regarding a vaginal infection and pointed out the condition of my external genitalia to the doctor.
The response was again that it did not appear to be genital warts.
During a follow-up appointment last week, the doctor noted that the spots had increased in number and size, recommending electrosurgery and a biopsy.
I also consulted another hospital, where the doctor similarly stated it did not look like genital warts but suggested electrosurgery for pathological examination.
I am really worried about this; if it is indeed genital warts or something worse, what if it cannot be cured?
Here is a recent photo taken yesterday.
I would like to ask if this could be genital warts or if it resembles something else.
https://ppt.cc/fKRkEx

Ac, 20~29 year old female. Ask Date: 2021/01/17

Dr. Chen Zhiyu reply Obstetrics and Gynecology

In response to your concerns, even though multiple obstetricians have treated you and you still feel uneasy, the best approach is actually in your answer: a biopsy for confirmation.
I hope everything goes well.
Thank you for your question, and I wish you health and happiness.

Reply Date: 2021/01/17

More Info

It sounds like you are experiencing a very distressing situation with your health, particularly concerning recurring infections and the appearance of new growths on your vulva. I want to reassure you that seeking medical advice is the right step, and it’s important to follow through with the recommendations provided by your healthcare providers.

Based on your description, you have had recurrent yeast and bacterial infections, which can be quite common and often require a thorough evaluation to determine the underlying causes. The appearance of new growths, particularly black spots on the vulva, can understandably cause concern, especially when you are worried about conditions like genital warts (caused by the human papillomavirus, or HPV).

Firstly, it’s important to clarify that while yeast infections and bacterial vaginosis can lead to discomfort and recurring symptoms, they typically do not cause new growths or lesions. The black spots you are observing could be related to several factors, including irritation from prolonged use of sanitary pads, friction, or even benign skin changes. However, since these spots are changing in size and number, it is prudent to have them evaluated further.

Your healthcare provider's recommendation for electrosurgery and biopsy is a standard approach when there is uncertainty about the nature of skin lesions. A biopsy will allow for a definitive diagnosis, which is crucial in determining the appropriate treatment. If the lesions are benign, treatment may involve simple removal or monitoring. If they are found to be related to HPV, there are various treatment options available, including topical treatments, cryotherapy, or surgical removal.

Regarding your concerns about transmission and recurrence, it’s important to understand that HPV can be transmitted through skin-to-skin contact, even when there are no visible symptoms. However, not all growths are HPV-related, and many skin lesions can be benign. If you are diagnosed with HPV, it’s essential to discuss with your healthcare provider about the implications for your sexual health and any necessary precautions you should take.

In terms of managing your overall health, recurrent infections can sometimes indicate an underlying issue with your immune system or other health factors. It may be beneficial to discuss with your doctor about lifestyle factors, stress management, and any other health conditions that could be contributing to your recurrent infections.

Lastly, I want to emphasize the importance of mental health during this time. It’s understandable to feel anxious or worried about your health, but reaching out for support from friends, family, or mental health professionals can be very beneficial. You are not alone in this, and there are resources available to help you cope with the emotional aspects of your health concerns.

In summary, continue to follow up with your healthcare providers, get the necessary tests done, and seek support for your mental well-being. It’s crucial to have a clear diagnosis to guide your treatment and management plan. Remember, many conditions are manageable, and with the right care, you can maintain a healthy and fulfilling life.

Similar Q&A

Understanding Recurring Vaginal Infections: Seeking Answers and Solutions

I experience vaginal infections 1 to 2 times every month, and this has been ongoing for several years. Each infection is accompanied by white and yellow-green chunky discharge, and there is also itching in the vulvar area. This year, I had one instance of having my menstrual peri...

Dr. Lin Zhenru reply Rare Disease
White and yellow-green, clumpy discharge resembling cottage cheese, along with itching in the vulvar area, are common symptoms of a vaginal yeast infection. Vaginal yeast infections are quite prevalent gynecological infections, and many individuals experience recurrent infections...

Persistent Vaginal Issues: Understanding Fungal Infections and Treatment Options

Hello, doctor. I've been troubled by a fungal issue for a long time... experiencing recurrent infections. Last month, my doctor performed a bacterial culture, and the results were normal. It might be due to my weakened immune system. I also noticed some small bumps near the ...

Dr. Zhan Deqin reply Obstetrics and Gynecology
Folliculitis is common; maintaining dryness and good hygiene is important. As for fungal infections, they tend to recur frequently and can be quite bothersome. The key is to pay attention to hygiene and keep the affected area dry and well-ventilated. Avoid wearing tight clothing,...

Understanding Candidiasis: Persistent Bumps on the Vulva Explained

Since July, I have been experiencing a Candida infection and have been continuously taking medication and returning for follow-ups. However, since I have not engaged in sexual intercourse, there has been no internal examination. During my second follow-up, I noticed some small bu...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you may still need to see a gynecologist to determine what the issue is. Wishing you good health.

Understanding Recurring Vulvar Itching: Causes and Solutions

Hello Dr. Dong: I would like to ask you two questions... (1) Since last year, I have experienced itching in the external genital area for a few days every month, about one to two weeks before my period. I consulted a gynecologist, who diagnosed it as a yeast infection and prescri...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Fungal infections can cause vulvar itching, and vaginal suppositories along with topical ointments can be quite effective. However, if infections recur, it is important to pay attention to the following issues: 1. Improvement of local hygiene habits, such as wearing cotton...