When to worry about vulval skin changes with genital warts

Genital warts can appear as small raised or flat growths on the vulva or nearby skin. They may occur alone or in groups, and irritation from rubbing, shaving, moisture, or scratching can alter how the skin looks. Vulval Skin Changes is a common presentation of Genital Warts. Even so, not every mark or patch is a wart, and a clinician may need to examine the area to distinguish warts from irritation, infection, or another skin condition.

Arrange an appointment with a GP, sexual health clinician, gynaecologist, or dermatologist if you are unsure what you are seeing. Note when the change began, whether it is spreading, and any itching, soreness, discharge, or bleeding. Keep the area gently clean and dry, avoid picking or scratching, and do not use ordinary wart-removal products on vulval skin. Avoid sexual contact with the affected area until you have received advice, particularly if contact causes pain or bleeding.

Seek prompt medical advice for a sore that does not heal, a lump that becomes firm or enlarges, skin that changes colour or texture, repeated bleeding, marked pain, pus, fever, or rapidly worsening swelling. Contact urgent care if bleeding is heavy, pain is severe, or swelling makes it difficult to pass urine. These signs do not identify the cause by themselves, but they should not be ignored.

You could ask: Could this be a wart or another vulval skin condition? Do I need an examination or testing? Which treatment is suitable for the location and appearance? How should I protect irritated skin, and what changes should prompt an earlier review?