Is It Really Genital Warts? Symptoms and Concerns - Urology

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Is it really cauliflower?


Doctor, a few days ago I discovered a reddish, soft, small growth on the upper inner side of my labia.
It hurts a bit when I press on it, so I went to a nearby clinic.
The doctor looked at it, didn’t ask me any questions, and immediately said I have genital warts.
I was very scared and underwent electrosurgery.
I want to ask the doctor, I have a single sexual partner (we just got together two months ago, and I haven’t had a partner for 5-6 years before that).
My partner (who hasn’t had a sexual partner for over a year) went to the hospital for an examination and showed no symptoms.
I also haven’t been in public pools or swimming...
I don’t understand why I would have genital warts.
Is the growth on my labia definitely genital warts? Can genital warts appear on their own? I looked at pictures of genital warts online and feel like what I have doesn’t look quite the same...
I hope the doctor can clarify this for me.
Thank you.

K, 20~29 year old female. Ask Date: 2008/07/04

Dr. Li Yilun reply Urology


Due to the management of your symptoms, a visual examination may not be possible; however, skin lesions require a visual assessment for diagnosis, and it is not feasible to make a diagnosis based solely on your written description.
If there are excised tissues with a pathology report, a definitive diagnosis may be possible.
Given the presence of lesions on the external genitalia and a history of sexual activity, the most common diagnosis is genital warts caused by the human papillomavirus (HPV).
However, there are also possibilities of infections caused by glandular infections or follicular infections leading to infectious granulomas.
In terms of treatment, electrosurgery can address these conditions, but the underlying causes differ.
Based solely on the symptoms you described, it is not possible to distinguish the underlying cause.
If you have any concerns or if there are issues with the wound, please consult your treating physician or healthcare facility.

Reply Date: 2008/07/04

More Info


Genital warts, medically known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They typically appear as small, soft, flesh-colored or slightly red bumps in the genital area, including the vulva, vagina, cervix, and anus. The fact that you found a soft, red bump on the inner side of your labia and experienced some pain when pressed could indeed suggest the presence of genital warts, but it is essential to consider other possibilities as well.

Firstly, it’s important to understand that HPV is a sexually transmitted infection, and while it is common, not everyone who is exposed to the virus will develop warts. The incubation period for HPV can vary significantly; it may take weeks, months, or even years for warts to appear after exposure. This means that even if you have been with a single partner for the past two months, it is possible that you could have contracted the virus earlier, especially if you had previous sexual partners.

Your partner’s recent check-up showing no symptoms is also a crucial factor. It’s possible for someone to carry the virus without showing any visible signs or symptoms. HPV can be asymptomatic, and individuals can unknowingly transmit the virus to their partners. Additionally, the absence of symptoms in your partner does not rule out the possibility of them being a carrier of the virus.

Regarding the treatment you received, electrosurgery is a common method for removing genital warts. However, it’s important to note that while this treatment can remove visible warts, it does not eliminate the HPV virus from your body. The virus can remain dormant in your system, and warts may recur in the future.

You mentioned that the bump you observed does not look like the images of genital warts you found online. This is a common concern, as warts can vary in appearance. They may not always resemble the typical cauliflower-like growths that are often depicted in medical literature or online resources. Other conditions, such as cysts, skin tags, or other benign growths, could also present similarly. Therefore, it is crucial to have a healthcare professional evaluate any new growths or changes in your genital area.

If you are feeling anxious or uncertain about your diagnosis, it is advisable to seek a second opinion from a dermatologist or a gynecologist who specializes in sexually transmitted infections. They can provide a thorough examination and may suggest additional tests, such as a Pap smear or HPV typing, to determine the specific strain of HPV and assess any potential risks.

In conclusion, while the characteristics of the bump you described could suggest genital warts, it is essential to consider other possibilities and consult with a healthcare professional for a definitive diagnosis. Understanding the nature of HPV, its transmission, and the implications of a diagnosis can help alleviate some of the anxiety you may be experiencing. Remember, open communication with your partner about sexual health is also vital in managing concerns related to sexually transmitted infections.

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