Genital warts and intimate-area skin lesions

• you notice a new lesion in the intimate area that is growing, changing colour or feels firm
• the lesion itches, hurts, burns or causes discomfort when walking, shaving or during sexual contact
• the lesion bleeds, oozes or becomes irritated
• you suspect genital warts, an epidermoid cyst, skin tag or another skin lesion
• you want a lesion removed safely after prior dermatology or venereology assessment

Safe removal begins with a consultation. The doctor assesses the location, appearance and structure of the lesion, its growth rate, the number of lesions and whether the problem affects the skin or also the mucous membrane. Where needed, assessment may include dermoscopy, biopsy or collection of tissue for histopathological examination to verify the diagnosis.

The treatment method is selected according to the diagnosed lesion and the patient’s individual needs.

For genital warts (condylomata acuminata), a venereologist may suggest prescription topical treatment or in-clinic procedures such as liquid-nitrogen cryotherapy, electrocautery, laser treatment or surgical removal.

Management of cysts and epidermoid cysts depends on the type of lesion and severity of symptoms. If the lesion causes no problems, observation may be recommended. If it causes discomfort, procedural options may include drainage, removal of the cyst contents or complete excision.

No. This is one of the most common mistakes in self-assessing lesions in this area. Although some lesions are caused by sexually transmitted infections, including HPV, many have a different cause. Benign lesions such as cysts, skin tags, naevi, vascular lesions, milia and seborrhoeic keratoses can occur around the genitals.

Dermatological problems in the intimate area are common. Although they can be uncomfortable or painful, most are not contagious. A lesion that grows, bleeds, changes colour or has an irregular shape should not be ignored. Malignant lesions can also develop in the intimate area, so any concerning change requires professional dermatological assessment.

Squeezing, burning or cutting lesions at home, or using random products bought online, may:

• worsen inflammation
• damage delicate skin or mucous membrane
• cause infection
• increase the risk of scarring and discolouration
• delay the correct diagnosis

Intimate-area lesions should not be removed without a doctor’s prior assessment. Different lesions require different management, and some need diagnostic testing, observation or histopathological examination.