Female Genital Warts: What You Need to Know - Urology

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Female genitalia


Hello, doctor.
A female patient has two growths on her labia that resemble cauliflower, but they have not changed in size or number for six months.
Is it possible for warts to remain unchanged in size and number? Thank you.

Xiao An, 30~39 year old female. Ask Date: 2023/12/03

Dr. Du Shixi reply Urology


Hello: It is unlikely to change significantly, so it is recommended to have a gynecological examination.
Wishing you good health.

Reply Date: 2023/12/03

More Info


Understanding female genital warts, also known as condylomata acuminata, is crucial for maintaining reproductive health. These warts are caused by certain strains of the human papillomavirus (HPV), a common sexually transmitted infection. While many people with HPV do not develop visible warts, those who do may notice growths that can resemble cauliflower, as you described.

In your case, the presence of two small growths on the labia that have not changed in size or number over six months is a positive sign. Generally, genital warts can vary in appearance, size, and number. Some may remain small and stable, while others can grow larger or multiply over time. The fact that your warts have not changed significantly could indicate that they are benign and not causing any immediate health issues. However, it is essential to monitor any changes in size, shape, or number, as these could signal a need for further evaluation.

It's important to note that while some strains of HPV can lead to genital warts, others are associated with more severe health risks, including cervical cancer. Regular gynecological check-ups, including Pap smears and HPV testing, are crucial for early detection and prevention of potential complications. If you have not had a Pap smear recently, it may be a good idea to schedule one, especially if you are sexually active.

If you are concerned about the growths, it is advisable to consult a healthcare professional. They can perform a thorough examination and may recommend a biopsy if there is any suspicion of malignancy. Treatment options for genital warts include topical medications, cryotherapy (freezing the warts), laser therapy, and surgical removal. The choice of treatment often depends on the size, location, and number of warts, as well as patient preference.

In terms of prevention, the HPV vaccine is highly effective in protecting against the most common cancer-causing strains of the virus. Vaccination is recommended for preteens, but it can also be beneficial for young adults who have not yet been vaccinated. Additionally, practicing safe sex by using condoms can reduce the risk of HPV transmission, although it does not provide complete protection since the virus can infect areas not covered by a condom.

In summary, while the stability of your genital warts is a reassuring sign, it is essential to remain vigilant and consult a healthcare provider for a proper diagnosis and management plan. Regular screenings and preventive measures can significantly reduce the risk of complications associated with HPV. Remember, open communication with your healthcare provider about any concerns or changes in your reproductive health is vital for maintaining overall well-being.

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