There is granulation in the middle of the labia minora

If there are small granulations in the middle of the labia minora, it can be considered as infected genital warts. Because genital warts are some small barbed granulations in the early stage of the disease, they will secrete mucus when touched by hand. As the disease worsens, it begins to spread over a large area, and even in severe cases it will spread to the cervix and adnexa, infecting the uterus and ovaries. Therefore, genital warts should be treated early, usually with cryotherapy combined with medication to avoid worsening of the disease.

The pathogen of genital warts is human papillomavirus. The main source of infection is patients with genital warts. The main transmission routes are as follows:

① Direct contact transmission: This is the main route of transmission. When having sexual intercourse with a patient with genital warts, the warts growing on the external genitalia are easily scratched because they are exogenous and brittle. The viruses in the warts and surface tissues then fall off and are inoculated onto the partner's genitals, leading to infection with the human papillomavirus and the onset of the disease.

Therefore, genital warts are likely to occur among people with a promiscuous sexual life. The survey found that 2/3 of people who have sexual intercourse with patients with genital warts will develop genital warts, and the patient is most contagious in the third month after onset of the disease.

②: Mother-to-child transmission: Pregnant women with genital warts, especially those with HPV infection in the cervix but no obvious clinical symptoms, will have HPV in their reproductive tract. During delivery, the baby passes through the birth canal, leading to HPV infection in the newborn and causing genital warts in infants and young children.

③: Indirect transmission: Some patients with genital warts are infected with human papillomavirus through indirect routes, the most common of which are daily necessities such as underwear, bath towels, bathtubs, etc. Therefore, people who go out or travel should pay great attention to this method. If you suffer from genital warts, it is recommended to go to a regular hospital for examination and treatment in time.

The genitals and perianal area are the most common sites. In men, it is more common in the foreskin, frenulum, coronal sulcus, glans penis, urethral orifice, penis shaft, perianal area, rectum and scrotum. In women, it is more common in the labia majora and minora, posterior symphysis, vestibule, clitoris, cervix and perianal area. It can occasionally be seen in areas other than the genitals and perianal area, such as the armpits, umbilicus, mouth, breasts, and between the toes. Female vaginitis and male foreskin are factors that promote the occurrence of genital warts.

The lesions initially appear as small, light red papules, which gradually increase in size and number, and are distributed singly or in clusters. They are moist and soft, with an uneven surface and appear as nipple-like, cockscomb-like, or cauliflower-like protrusions. Red or dirty grey. The roots often have pedicles and are prone to erosion and exudation, and bleed easily when touched. Purulent secretions often accumulate between the cracks of the skin lesions, causing a foul odor, and secondary infection may occur due to scratching. This disease often has no subjective symptoms, and some patients may experience foreign body sensation, pain, itching or pain during sexual intercourse. Genital warts in the rectum may cause pain, blood in the stool, and a feeling of tenesmus.