Pseudo-Warts: Causes and Concerns for Women’s Health - Urology

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Pseudocondyloma acuminatum


Hello, doctor.
I would like to inquire about something.
A couple of days ago, while showering, I noticed a small growth between my vagina and anus, as well as near the vaginal opening.
It doesn't hurt or itch.
It feels dry to the touch, and I haven't noticed any bumps before this.
So far, there hasn't been any change.
Recently, I have been experiencing vaginal inflammation, with an increase in discharge, and I'm unsure if this could be related.
I've researched a lot and find it hard to distinguish between genital warts and other conditions, as these growths are not connected and there are not multiple bumps in a row.
I haven't engaged in sexual activity in the past month, nor have I had intimate contact with anyone other than my boyfriend.
I'm curious about what could be causing these two growths.
Thank you.

Niming, 20~29 year old female. Ask Date: 2022/01/22

Dr. Du Shixi reply Urology


Hello: The growths in the female vagina or perineum may be warts, commonly known as condyloma acuminatum.
Most physicians can usually determine whether it is warts during an examination, but a pathological diagnosis is more ideal.
If there is redness and tenderness, it is likely not warts.
The average incubation period is about three months, but it can vary, with some cases taking over a year to appear.
The infection is mostly transmitted through sexual contact.
For more information, you can refer to http://www.shutien.org.tw/dr_doc_detail.aspx?bookid=1019.
Wishing you good health.

Reply Date: 2022/01/22

More Info


Understanding the appearance of small growths or bumps in the genital area can be concerning, especially for women’s health. The presence of small, painless growths near the vaginal opening and between the vagina and anus, as you described, could potentially be a variety of conditions, including but not limited to pseudo-warts, genital warts, or other benign growths.

Pseudo-Warts vs. Genital Warts:
Pseudo-warts, often referred to as skin tags or benign growths, are typically harmless and can appear in various areas of the body, including the genital region. They are usually soft, flesh-colored, and do not cause pain or discomfort. On the other hand, genital warts are caused by certain strains of the human papillomavirus (HPV) and can appear as small, cauliflower-like bumps. They may be itchy or uncomfortable, and while they are also generally harmless, they can be a sign of an HPV infection, which is a sexually transmitted infection (STI).

Given that you have not engaged in sexual activity recently and have not had contact with anyone other than your boyfriend, the likelihood of these growths being sexually transmitted is lower. However, HPV can remain dormant for long periods, so it is still a possibility.

Other Considerations:
The increase in vaginal discharge you mentioned could be related to a vaginal infection, which might also contribute to changes in the genital area. Conditions such as bacterial vaginosis or yeast infections can lead to increased discharge and may cause irritation or inflammation, which could potentially lead to the development of small bumps or changes in the skin.

When to Seek Medical Attention:
It is essential to monitor these growths for any changes in size, color, or sensation. If they become painful, start to bleed, or if you experience any other concerning symptoms such as unusual discharge, itching, or odor, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination and may recommend tests to determine the exact nature of the growths.

Diagnosis and Treatment:
A gynecologist or healthcare provider can differentiate between pseudo-warts and genital warts through a physical examination. In some cases, a biopsy may be necessary to rule out other conditions. If the growths are determined to be benign, no treatment may be required unless they cause discomfort. If they are found to be genital warts, treatment options include topical medications, cryotherapy, or other procedures to remove the warts.

Conclusion:
In summary, while the appearance of small growths in the genital area can be alarming, they are often benign. However, given your symptoms and concerns, it is crucial to consult with a healthcare provider for an accurate diagnosis and appropriate management. Regular gynecological check-ups and open communication with your healthcare provider about any changes in your body are vital for maintaining reproductive health.

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