Could It Be Genital Warts? Symptoms and Concerns - Urology

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Is this cauliflower?


I have been struggling with vaginitis, and last month I noticed a growth between the vaginal opening and the anus.
Recently, it has turned into two growths.
Can warts grow this slowly? Also, I understand that warts are usually painless and itch-free, but mine hurt when I touch them.
Could this be warts?

Nìmíng, 10~19 year old female. Ask Date: 2013/08/26

Dr. Li Yilun reply Urology


If you have obvious symptoms, you should go directly to a medical facility for diagnosis and treatment.
For female gynecological issues, please consult an obstetrician-gynecologist (OB-GYN).

Reply Date: 2013/08/26

More Info


Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They typically appear as small, flesh-colored or gray swellings in the genital area. While they are often painless, some individuals may experience discomfort, itching, or pain, especially if the warts are irritated or if they are located in sensitive areas.
In your case, the symptoms you describe—specifically the growths between the vaginal opening and the anus, along with the pain upon touching—are concerning and warrant further evaluation. It's important to note that while genital warts can appear as cauliflower-like growths, they can also present in various forms, and not all growths in the genital area are necessarily warts. Other conditions, such as cysts, skin tags, or other infections, can also cause similar symptoms.

The slow growth of the lesions you mentioned is not uncommon. HPV can remain dormant in the body for long periods before causing visible symptoms. The time it takes for warts to develop can vary significantly from person to person. Some may notice changes within weeks, while others might not see any growth for months or even years.

Given that you have a history of vaginitis (inflammation of the vagina), it is crucial to differentiate between the symptoms of an infection and those of potential warts. Vaginal infections can cause irritation and discomfort, which might be exacerbated by the presence of warts or other growths.
Here are some important steps you should consider:
1. Consult a Healthcare Provider: It is essential to see a healthcare professional for an accurate diagnosis. They can perform a physical examination and may recommend further tests, such as a Pap smear or HPV testing, to determine the nature of the growths.

2. Avoid Self-Diagnosis: While it can be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety and potentially delay appropriate treatment. A healthcare provider can provide clarity and guidance.

3. Discuss Treatment Options: If the growths are confirmed to be genital warts, there are various treatment options available, including topical medications, cryotherapy (freezing the warts), or surgical removal. Your healthcare provider can help determine the best course of action based on your specific situation.

4. Practice Safe Sex: If you are sexually active, consider discussing safe sex practices with your partner(s) to reduce the risk of transmitting HPV or other sexually transmitted infections (STIs).

5. Follow-Up Care: Regular follow-up appointments may be necessary to monitor the growths and ensure they are responding to treatment, if applicable.

In summary, while your symptoms may suggest the possibility of genital warts, only a healthcare professional can provide a definitive diagnosis. It is crucial to seek medical attention promptly to address your concerns and receive appropriate care. Remember, early intervention can lead to better outcomes and peace of mind.

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