What should you know about warts on the vulva lips?

A genital wart may appear as a rough, smooth, flesh-coloured, pink, or darker raised spot on the inner or outer vulval lips. It can be single or clustered and may cause itching, friction, or no symptoms. Other vulval bumps include blocked glands, skin tags, follicle inflammation, eczema, and sores caused by infection. A clinician may need to examine the whole vulva rather than the most noticeable spot, because nearby lesions can have different appearances.

Do not cut the lesion, pop it, or use salicylic-acid wart liquid intended for hands or feet. Wash with lukewarm water and a mild, fragrance-free cleanser if needed, then pat dry. Loose underwear can reduce rubbing. Avoid sexual contact with the affected area until it has been assessed. Treatment may involve Imiquimod Treatment for selected external lesions, or Cryotherapy (Lesion Removal), Electrosurgery, or Wart Removal. A clinician chooses among these according to lesion size, number, location, and skin sensitivity.

Make an appointment for a new vulval growth that remains, changes, spreads, or bleeds with minor contact. Seek prompt medical care for severe pain, open ulcers, pus, rapidly increasing swelling, fever, or difficulty urinating. Mention pregnancy, immune conditions, and recent sexual-health concerns because they can affect the examination and treatment plan.

Ask what the lesion most resembles, whether a test or biopsy is needed, and whether internal examination is appropriate. Discuss discomfort control, healing care, sexual contact during treatment, partner assessment, and which changes should prompt a return visit.