[Question #6964] Genital Warts

11 months ago
Hello,

   Four years ago I had genital warts and had them removed by my gynecologist. They were closer to the opening of my vagina and inside my vagina. I noticed a very small bump on my vulva (mons pubis area) about a month ago and didn't think much of it but was wondering if I had another wart. It appears to have hair growing out of it and isn't totally flat on my skin. It's slightly darker than the surrounding skin but light in color and rough. I looked around and there is only one that I can see. I initially thought it was a seborrheic keratosis and wasn't concerned. I will see my gynecologist for a check up but wanted to know if there were certain characteristics of genital warts that distinguished them from other skin growths. I'm wondering if Im being a little paranoid. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
11 months ago
Welcome back to the forum and thanks for your continued confidence in our services. I reviewed our discussion 3 years ago and am happy to learn you apparently have had no further problems with genital warts since then.

Any lesion with a hair growing out of it cannot be a wart. The presence of a hair usually suggests inflammation of a hair follicle or its associated sebaceous gland, i.e. folliculitis. On the other hand, seborrheic keratoses are more wart-like in appearance, but not being a dermatologist, I'm not certain whether the hair is consistent with that diagnosis. In any case,  Another reason this likely isn't a recurrent wart is its location. While warts can appear on the mons pubis, it's not a very common location.

You're doing the right thing by having it professionally evaluated. The only issue might be the extent of your gynecologist's knowledge of genital dermatology. If any doubt once s/he has seen you, ask about referral to a dermatologist. In the meantime, I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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