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32 years
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I have small pimples like la7miyye and itching on my vaginal opening.ive been with my partner for 2 years and trust its not STD. Wt else could it be?
Nov 26, 2014
2nd opinion

Dr. Zakia Dimassi Pediatrics
The only way to figure out the exact nature of this lesion is by direct vaginal examination and a Pap smear; but the description of the shape, location, and symptoms (itchiness) in the context of active sexual activity makes us think mostly of genital warts, caused by human papilloma virus (HPV). Mind you, your partner needs not have overt (visible) penile lesions to have the virus; they may simply carry it in their system without obvious skin lesions.
Condyloma acuminata or genital warts are skin lesions commonly encountered on the genital organs and caused by the human papilloma virus (HPV). Approximately 90% of condyloma are related to HPV types 6 and 1; luckily, these 2 types are the least likely to have the potential to cause cancer.
Smoking, multiple sexual partners, and onset of sexual activity at an early age are risk factors for acquiring condyloma acuminata. Generally, two thirds of individuals who have sexual contact with a partner with condyloma acuminata develop lesions within 3 months. The main presenting complaint complaint usually is one of painless bumps, itchiness, or discharge. Involvement of more than 1 area is common. History of multiple lesions, rather than 1 isolated wart, is common.
Oral lesions may be present and are presumably are transferred by oral-genital contact. History of anal intercourse in both males and females warrants a thorough search for perianal (around the anus) lesions. Search for other sexually transmitted infections (STIs) is also warranted.
Treatment options include:
Podofilox (Condylox)
This product results in necrosis (tissue death) of genital condyloma acuminata.
Trichloroacetic acid topical
At various concentrations (up to 80%), these agents rapidly penetrate and cauterize skin, keratin, and other tissues. Response is often incomplete, and recurrence is frequent.
Imiquimod (Aldara)
Has minimal absorption into the circulation but causes redness, irritation, ulceration, and pain. Burning, erosion, flaking, edema, induration, and pigmentary changes may occur at application site.
Other medications are also available; the choice of treatment depends on the location and size of the lesion.
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