What to do if you have vulvar pseudocondyloma

Female friends must pay attention to their physical condition in daily life. Don't ignore even small problems. Some girls feel embarrassed and therefore dare not go to the hospital for treatment. However, we must know that our body is our own, and we must take care of ourselves. Only when we take care of our bodies will others also take care of us. Therefore, when you feel uncomfortable, do not delay seeking medical attention, because that will only make the problem bigger and may eventually cause greater pain or make the disease impossible to cure.

Vulvar pseudocondyloma is a polyp-like red papule or villous protrusion that occurs on the female vulva. It is also known as vulvar papillary hirsutism, villous labia minora, and vulvar hairy papilloma. It mostly occurs in women aged 20-30. The cause may be physiological abnormalities or may be related to infection, such as Candida infection, urinary tract infection, and long-term vaginal secretion stimulation. The main symptoms are vulvar itching and excessive leucorrhea. Skin lesions appear as clusters of mucosal-colored or pink, fish-egg-like smooth papules that do not fuse with each other, are symmetrically distributed, and are of uniform size. A few are nipple-like or villous protrusions that feel sandy to the touch. They are densely distributed in sheets or strips on the inner side of the labia majora and minora, and are occasionally seen in the vagina and urethral opening.

Vulvar pseudocondyloma was first proposed by Ahmeyes in 1982. It is called vulvar papillary hirsutism and is also called vulvar condyloma acuminatum-like papules. Kohda reported it as hairy papilloma in 1986. Macnab et al. called it villous labia minora or vulvar papillary hirsutism. In 1987, Yuan Tengxianzi reported the clinical manifestations and histopathological changes of 4 female patients and suggested the use of the name pseudocondyloma.

Pseudocondyloma acuminatum is a new disease. Pseudo-condylomata is more common in young women, and can occur in both unmarried and married women; the age of onset is mainly 18 to 41 years old, and the incidence rate is 16% to 18%. The clinical manifestations are 1-2 mm papules, light red, clustered and not fused; they are smooth, roe-like or villous in shape, and feel granular to the touch; they are distributed on the inner side of the labia minora or the vestibule of the vagina. Generally there are no subjective symptoms or only mild itching, which can be easily confused with genital warts clinically.

Generally speaking, there is no need to treat pseudo-condyloma of the vulva. The important thing is to find certain factors that may cause or aggravate pseudo-condyloma, such as checking whether the patient has gonorrhea, non-gonococcal urethrogenital tract inflammation, fungal or Trichomonas vaginitis and other infections, and to treat related diseases. Poor local hygiene, moisture, friction and other irritations can also aggravate the disease, so it is necessary to keep the local skin clean and dry to reduce irritation to the local skin. For some people who have heavy mental burdens and are afraid that this disease will cause adverse consequences, cryotherapy, laser therapy or local drug application therapy can be used to remove the diseased tissue. However, some lesions may recur after removal. Zhengzhou Union Hospital used polymerase chain reaction to examine 33 patients with pseudocondylomata, and all the results were negative for human papillomavirus, indicating that vulvar pseudocondylomata is not related to human papillomavirus. When treating this disease, the main focus should be on treating other infections. If there is candidal vaginitis, Trichomonas vaginitis or urinary tract infection, it should be treated first.

It is recommended to visit the dermatology and venereology department of a regular hospital, do the acetic acid white test, and actively receive treatment under the guidance of a doctor after the diagnosis is confirmed. If it does not turn white, it may be pseudo-condyloma acuminatum. If it turns white, it may be genital warts. Treatment must be active and regular. Sexual intercourse is prohibited during treatment to avoid infection or reinfection.

Regular check-ups are required to ensure that there is no recurrence for more than half a year to be considered cured.

Therefore, female friends must pay more attention to rest, maintain an optimistic attitude, and when encountering these gynecological diseases, seek medical attention early without any delay. It is better to actively cooperate with treatment, exercise more, strengthen your physical fitness, and improve your immunity.