Symptoms: Is It Genital Warts or Something Else? - Surgery

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Suspected cauliflower (likely referring to genital warts or condylomata acuminata)?


I had sexual intercourse with my girlfriend about six days ago, on the 11th.
On the 15th, I noticed a flesh-colored bump on my genital area while urinating.
At first, I thought it was something minor, but later it started to grow, and today I noticed a few more bumps.
I'm concerned that this might be something serious, as I sometimes experience itching and pain.
Could this be genital warts?

Xiao Li, 20~29 year old female. Ask Date: 2016/02/17

Dr. Ke Fangxu reply Surgery


It should not be the case; genital warts (commonly known as cauliflower) would not appear in such a short time, at least not as a result of the sexual activity on the 11th.
Unless this is your first sexual encounter, it is possible that the infection was acquired previously.
If that is the case, you should consult a physician for an examination to determine if it is indeed condyloma acuminatum (genital warts).

Reply Date: 2016/02/17

More Info


It sounds like you are experiencing some concerning symptoms following a recent sexual encounter. Based on your description of the appearance of flesh-colored bumps on your genital area, it is possible that you may be dealing with genital warts, which are caused by certain strains of the human papillomavirus (HPV). However, it is important to note that there are other conditions that can present with similar symptoms, and a proper diagnosis can only be made by a healthcare professional.

Genital warts typically appear as small, flesh-colored or gray growths in the genital area. They can be raised or flat, single or multiple, and may sometimes cluster together, resembling a cauliflower. It is also common for them to be itchy or painful, as you have described. The incubation period for HPV can vary, and symptoms may not appear immediately after exposure, which can make it difficult to determine when the infection occurred.

In addition to genital warts, other conditions could cause similar symptoms, including:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the head of the penis and are not a sexually transmitted infection (STI).

2. Folliculitis: This is an inflammation of the hair follicles that can cause small red or white bumps and may be itchy or painful.

3. Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or sores in the genital area, and it is also an STI.

4. Molluscum Contagiosum: This is a viral infection that causes small, firm, raised bumps on the skin, which can occur in the genital area.

5. Other STIs: Conditions like syphilis or other infections can also present with similar symptoms.

Given the potential for these symptoms to indicate an STI, it is crucial to seek medical attention as soon as possible. A healthcare provider can perform a physical examination, take a detailed history, and may conduct tests to determine the exact cause of your symptoms. They may also recommend treatment options based on the diagnosis.

In the meantime, it is advisable to avoid sexual contact until you have been evaluated by a healthcare professional to prevent the potential spread of any infection. Additionally, if you are experiencing significant discomfort, over-the-counter pain relief or topical treatments may provide some temporary relief, but these should not replace professional medical advice.

Lastly, if you are diagnosed with genital warts or any other STI, it is important to inform any sexual partners so they can also seek evaluation and treatment if necessary. Practicing safe sex, including the use of condoms, can help reduce the risk of transmitting STIs in the future.

In summary, while your symptoms could suggest genital warts, it is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment. Early intervention can help manage symptoms and prevent complications.

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