Vulvar Issues: Symptoms, Concerns, and When to Seek Help

Genital issues

Hello Doctor, my boyfriend and I have been sexually active for two years, and we are each other's first partners.
For almost the entire duration, we have engaged in unprotected sex.
My menstrual cycle has always been irregular; a doctor previously suggested that I might have polycystic ovary syndrome (PCOS), and I have undergone three pelvic examinations.
I have experienced issues with urethritis and have taken emergency contraceptive pills, menstrual induction medication, and medication for urethritis.
On July 6, after intercourse, I noticed some blood when I wiped after using the restroom.
I initially thought it was the start of my period, but for the past few days, there has only been a small amount of brown discharge, accompanied by a burning sensation and itching in the vulvar area, although I have had this condition for a while.
When I examined my labia, I noticed small bumps inside, and I am unsure if they are genital warts.
I would like to ask the doctor: 1.
Is it possible that my condition is genital warts? 2.
Should my partner and I both go for a gynecological examination? 3.
Is there a possibility of cancer? Thank you.

Ms. Wu, 10~19 year old female. Ask Date: 2021/07/10

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
"Vaginal infections" can cause abnormal discharge, perineal itching, unpleasant odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
The "treatment methods" vary depending on the symptoms and require proper health education.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

2.
Genital warts are a sexually transmitted infection, and there is a possibility of infection through contact with skin, mucous membranes, and bodily fluids.

Reply Date: 2021/07/10

More Info

When it comes to vulvar issues, it's essential to understand the symptoms, potential concerns, and when to seek medical help. Based on your description, there are several factors to consider regarding your symptoms and sexual health.

1. Symptoms and Possible Conditions: The presence of slight bleeding after sexual intercourse, along with a burning sensation and itching in the vulvar area, can be indicative of several conditions. The fact that you have a history of irregular menstruation and possible polycystic ovary syndrome (PCOS) may complicate your situation. The appearance of small bumps on the vulva raises concerns about possible infections or conditions such as genital warts (caused by the human papillomavirus, HPV). While it is not possible to diagnose you without a physical examination, these symptoms warrant further investigation.

2. Need for Medical Evaluation: Given your symptoms, it is advisable for both you and your partner to seek evaluation from a gynecologist. A thorough examination can help determine the cause of your symptoms, whether they are due to an infection, irritation, or another underlying condition. It is particularly important to address any potential sexually transmitted infections (STIs), especially since you have been engaging in unprotected sex. A gynecologist can perform necessary tests, including Pap smears and HPV testing, to rule out any serious conditions.

3. Cancer Risk: While the symptoms you describe do not directly indicate cancer, it is crucial to be vigilant about any changes in your body. Persistent symptoms such as unusual bleeding, pain, or changes in the vulvar area should not be ignored. HPV is linked to certain types of cancer, including cervical cancer, so regular screenings and vaccinations (if you haven't already received the HPV vaccine) are important preventive measures. Your healthcare provider can discuss your risk factors and the need for screenings based on your medical history and current symptoms.

4. Management of Symptoms: In the meantime, consider practicing good vulvar hygiene, avoiding irritants such as scented soaps or lotions, and wearing breathable cotton underwear. If you experience discomfort, over-the-counter topical treatments may provide temporary relief, but they do not substitute for professional medical advice.

5. Follow-Up Care: After your initial evaluation, follow-up care may be necessary depending on the findings. If an infection is diagnosed, appropriate treatment will be prescribed. If there are concerns about HPV or other sexually transmitted infections, your healthcare provider will guide you on the next steps, including potential vaccinations and partner testing.

In summary, your symptoms are concerning enough to warrant a visit to a healthcare provider. Early intervention can lead to better outcomes, so do not hesitate to seek help. It is essential to prioritize your health and well-being, and addressing these issues promptly can help alleviate your concerns and improve your quality of life.

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