Vaginal Itching and Growth: What You Need to Know - Obstetrics and Gynecology

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Itching in the genital area before menstruation, leading to skin breaks..?


In mid-August, I experienced itching in the genital area before my menstrual cycle, and I accidentally scratched the skin.
I applied Mentholatum ointment, which temporarily relieved the itching.
After my menstrual cycle ended, I noticed that the scratched area had become raised, and there were unknown small white bumps nearby.
After an internal examination by a gynecologist, the doctor mentioned that there were growths at the vaginal opening, which they referred to as "small fleshy growths." Upon further inquiry, the doctor suggested it might be genital warts.
When I got home and showered, I could also feel the growths.
The doctor did not say much about the scratched area and prescribed medication for topical application as well as a suppository, advising me to return for a follow-up in two weeks.
I have been following the doctor's instructions diligently, applying the medication and using the suppository.
However, the ointment feels greasy and uncomfortable, and I still experience itching.
In April, I had sexual intercourse with a friend three times without using protection, and since then, I have not had sexual relations with anyone else.
Could I have contracted this from them? Should I wait for another two weeks for my follow-up, or should I go to a larger hospital for further examination and treatment? Should I see a gynecologist or a urologist? I have researched a lot online but still do not understand whether my symptoms are due to genital warts, herpes, or possibly both.

Ya Li Hen Da De Ren, 20~29 year old female. Ask Date: 2006/08/27

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello: Based on your description, both condyloma and folliculitis are possible, but it is advisable to have a physician examine the symptoms before making a diagnosis.
Sincerely, Dr.
Huang Chien-Hsun, Obstetrics and Gynecology.

Reply Date: 2006/08/27

More Info


Understanding vaginal itching and growth can be quite concerning, especially when symptoms like itching, skin breaks, and unusual growths appear. Based on your description, it seems you are experiencing a combination of symptoms that could potentially relate to various conditions, including genital warts (often associated with the human papillomavirus, or HPV) and herpes simplex virus (HSV) infections.
Firstly, the itching and subsequent skin break you experienced could indicate irritation or an infection. When the skin is broken, it becomes more susceptible to infections, which could lead to further complications. The appearance of white bumps or growths after this incident raises the possibility of genital warts, which are typically soft, flesh-colored or white growths that can appear in the genital area. These are caused by certain strains of HPV, which is a sexually transmitted infection (STI).
Your mention of having unprotected sexual encounters raises the likelihood of having contracted an STI, as both HPV and HSV can be transmitted through skin-to-skin contact during sexual activity. It’s important to note that HPV is quite common, and many sexually active individuals may carry the virus without showing any symptoms.
Regarding your concerns about whether you should wait for your follow-up appointment or seek immediate care, it is advisable to consult a healthcare professional sooner rather than later, especially if you are experiencing discomfort or if the symptoms are worsening. A gynecologist would be the most appropriate specialist to assess your condition, as they can provide a thorough examination and necessary tests to determine the exact nature of your symptoms.
In terms of treatment, if the growths are indeed genital warts, there are various treatment options available, including topical treatments, cryotherapy (freezing the warts), or surgical removal. If the bumps are related to herpes, antiviral medications can help manage outbreaks and reduce transmission risk.
It’s also crucial to address any potential psychological impacts of these conditions. Many individuals feel anxious or embarrassed about STIs, but it’s important to remember that these infections are common and treatable. Open communication with your healthcare provider can help alleviate concerns and provide clarity on your condition.

In summary, while it’s possible that you may be dealing with genital warts or herpes, a definitive diagnosis can only be made through a clinical examination and possibly laboratory tests. Seeking prompt medical attention will not only help in managing your symptoms but also in preventing potential complications. It’s essential to prioritize your health and well-being, so don’t hesitate to reach out to a healthcare provider for further evaluation and treatment options.

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