What Causes Bumps In The Vaginal Area?

Posted on Mon, 25 Sep 2017

Question: We were going to have sex and we found this weird bumps in the area.
STD test done all Negative including HPV,Herpes etc etc..Some Gynecologists saying they are genital warts and some say it`s normal, but what are they ? please explain before I jump off a cliff ( STD tests Negative ) I don`t know how it can be possible because we are loyal to each other, we were virgin back there and now into our 2 year relationship.

Answered by Dr. Dr. Kakkar (43 minutes later)

Brief Answer:
Benign vulvar vestibular papillomatosis

Detailed Answer:
hello. thank you for writing to us.

I am Dr. Kakkar(dermatologist). I have gone through your query and I have viewed the image.

In the encircled area I can see multiple, translucent, tubular/ rounded, monomorphic raised lesions on inner labia and vestibule. This condition is vulvar vestibular papillomatosis, not genital warts although it is often confused with genital warts. Vestibular papules are soft to touch. The condition is asymptomatic in most although it may be associated with vulvar pain.
On the other hand, genital warts are acuminate, filiform, firm, rough surfaced and they seem to coalesce on base whereas vestibular papules are separate at there bases.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (1 hour later)

Hi Dr Kakkar S.
Thank you So Freaking Much !
You eased my mind. I talked about this condition with more gynecologists and they told me it`s a normal mucosal of the vagina but I never stopped believing that it is " VP " One of them told me it was " WARTS " but we did multiple pap smears and multiple STD tests and every time " Negative results " So the two circled areas are covered with VP am I right ?

Thank you so much DR Kakkar.

Answered by Dr. Dr. Kakkar (5 hours later)

Brief Answer:
Vestibular papillomatosis

Detailed Answer:
Yes, the encircled areas are vestibular papillomatosis.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (36 minutes later)

Hi Dr Kakkar S.

Sorry for the multiple question but please understand I suffer from huge Anxiety when it comes to my family and my girlfriend because my mind would not stop thinking that she cheated on me ( which is really impossible because we were both virgin and I trust her with all my life and she is loyal and we spend like 24/7 with each other and I don`t have any symptoms for the past year )

So I can ease my mind and it is VP and not any type of STD`s right? Thank you so much ! I would hug you right now

Answered by Dr. Dr. Kakkar (3 minutes later)

Brief Answer:
Not an STD

Detailed Answer:
hi.

No it isn't an STD. It is vestibular papillomatosis.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Kakkar (15 hours later)

thank you doctor.
I rely on your reply.

thank you !

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (27 hours later)

Thank you very much
a small update today we went to a Gynecologist and she Said it is normal it is not warts or anything type of STD but she didn`t know what the " Name " of the condition is called. I think is really is Vestibular Pap...

thank you.

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Vestibular papillomatosis

Detailed Answer:
hi

vestibular papillomatosis is he name of this condition .

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Kakkar (13 hours later)

thank you very much I rely on your reply.
it is VP " but not many papules are seen its minor "

Answered by Dr. Dr. Kakkar (12 minutes later)

Brief Answer:
Vestibular papillomatosis

Detailed Answer:
hi.

Yes, it is not very extensive. I have seen cases which are more extensive covering the whole of inner labia and vestibule.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (4 hours later)

So they are more common then they say they are " RARE " so it`s common to see them in the vagina opening. Because this condition mimic's the HPV. can you briefly explain me what makes it different then genital warts? thank you. I will rate you later when I close the report DR KAKKAR.hi dr xxxxxxxxxx
Urgent ! yesterday her vagina was normal but now she wore a pants, I think with some new detergent soap and perfume to the panties.

i uploaded some pics, she is in lots of pain what is this condition ! we are worried.

thank you.

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
Regarding VP and possible? genital herpes

Detailed Answer:
thank you. I have viewed the images.

VP is rare but a well established condition of vulva. Incidence is not well known.. Often it is confused with genital warts. I have already explained in detail the difference between VP and genital warts if you can refer back to my first reply. Another difference is that genital warts would turn white on application of 5% acetic acid whereas VP would not.
As far as the recent image is concerned I can see a few sores. This does not seem like an allergic reaction. In fact I would like to rule out genital herpes based on this picture. Herpes presents with multiple genital sores along with pain and burning sensation.
I am sorry this must be a bit confusing as I am not aware of her past sexual history even though you told me that she has never had any past sexual contacts. Therefore I can guide you only on the basis of image. Genital herpes is also one of the STDs.
Please don't apply acetic acid to distinguish VP from genital warts as it would hurt her immensely at this stage since she also has these genital sores ? herpes genitalis

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar