Introduction to the vulva

There are many kinds of genital warts, which are characterized by light red cockroaches and rancid smells, such as pseudo-condyloma, condyloma acuminata, polyps, cysts, etc., which need to be clearly diagnosed. Large sputum needs surgical treatment. It is recommended to actively cooperate with the above doctors. Treat and understand the causes of neoplasms. More common in condyloma acuminata.

basic knowledge

The proportion of illness: 0.001% - 0.005%

Susceptible people: good for young men and women

Mode of transmission: some through sexual transmission



Vulvar sputum

The reasons for the genital warts are as follows:

1, inflammatory stimulation.

2, unclean life history.

3. Bacterial or viral infections.


Vulvar sputum prevention

Pay attention to personal hygiene: keep the vulva clean and dry, change the underwear frequently, use the vulva for special use, use the underwear, towel and basin to use hot water to wash. Go to public places such as public toilets, swimming pools and bathrooms to prevent cross infection.


Vulvar biologic complications Complication

Patients with vulvar sputum may have gonorrhea, syphilis, chlamydia infection, trichomoniasis, etc., should pay attention to check, timely discovery and treatment.


Vulvar sputum symptoms common symptoms vulvar itching vaginal discharge increased nodules

1, flat wet warts: If in the vulva or perianal, see multiple invasive, gray-white, flat bulging papules or nodules, and wet and easy to smash, accompanied by odor, more consider flat warts (treponema pallidum infection).

2, genital warts: If in the vulva or perianal, see light red or taupe, cauliflower-like or cocks-like and pedunculated scorpion, small sputum, lumps, acne, easy bleeding, more considered genital warts. Condyloma acuminata, also known as sputum wet sputum, genital warts, sharp sputum, sexually transmitted diseases, etc., is caused by human papillomavirus (hpv) infection of the genitals, perineum, anus and other parts (a few occur in the armpits, breasts, mouth, ears , throat, etc.), generally no odor.

3, contagious soft palate: If in the perianal or external, see the hemispherical papules with large rice grains, the center has umbilical fossa, the surface has a waxy luster, the top can be broken to extrude the cheese-like substance, should be considered as contagious soft palate . Infectious soft palate is a benign, self-limiting disease caused by soft prion infection. In recent years, the incidence rate is significantly increased, and the incidence of skin in the vulva and anal areas is increased in adult male and female active people, which is common in STD clinics. To the contagious soft palate misdiagnosed as genital warts.

4, female pseudo-hypertension: also known as female vaginal papillary hirsutism, villi-like labia minora, female vaginal hairy papilloma. Most occur in women between the ages of 20-30. The main symptoms are genital itching and vaginal discharge. The skin lesions are normal egg-like or pink clusters of fish-like smooth papules, which are not fused, symmetrically distributed, and of uniform size. A few are papillary, villous, with a grainy feel on the inside of the labia minora. Distributed in strips or strips. 5% acetic acid test was negative.


Examination of vulvar mites

Gynecological routine examination.

Laboratory examination of vaginal secretions.


Diagnostic identification of vulva


1. History of unclean sexual intercourse.

2, the typical skin lesions for the genital or perianal and other wet areas appear papules, papillary, cauliflower-like or cockscomb fleshy neoplasms, rough surface keratinization.

Differential diagnosis

1, villous labia minora: also known as pseudo-wet phlegm, occurs in the young woman's labia minora, around the vaginal vestibule and urethral orifice, symmetrical densely distributed 1 ~ 2mm diameter white or reddish small papules, smooth surface, some It may be villous, caviar or polypoid, with no obvious symptoms, occasional itching, and negative for acetic acid white test.

2, pearly penile papules: rash is located in the glans of the glans, visible pearly, conical or irregular white, yellow-white or skin papules, can be translucent, smooth surface, hard, pimples between each other They do not fuse with each other and are regularly arranged along the coronary groove in one to several rows, and the acetic acid white test is negative.

3, sebaceous gland ectopic disease: glans, foreskin or labia minora can be seen in the size of the miliary, isolated and slightly uplifted, hordes or slices of yellow-white or yellowish papules, no symptoms, histological features for each pimples It consists of a small group of small mature sebaceous gland lobes, which surround the sebaceous gland duct and are negative for the acetic acid white test.

4, penile collateral papular fibroma: symmetry occurs in the white or yellow-white miliary size papules on both sides of the penis ligament, single or several, soft, smooth surface, non-fusion, according to medical history and acetic acid white Negative test can be distinguished from genital warts.

5, luster moss: for the occurrence of the penile stem, shiny polygonal or round flat-top papules, needle tip to miliary size, can be densely distributed but not fusion, its pathological changes are characteristic.

6, flat wet warts: is a second-stage syphilis, is a papule or plaque that occurs in the genital area, the surface is flat and moist, can also be granular or cauliflower-like, dark-field examination can find syphilis, syphilis serological reaction .

7, Bowen-like papulosis: skin lesions are gray-brown or reddish-brown flat papules, mostly multiple, round or irregular, papular surface can have a velvety appearance, or mild keratinization, more male Occurs in the penis, scrotum and glans, women occur in the labia minora and perianal, generally no symptoms, histopathological examination helps to identify.

8, sweat duct tumor: a small and hard skin color or brown pimples, about a few millimeters in diameter, multiple, usually no symptoms, histopathological examination can confirm the diagnosis.

9, genital squamous cell carcinoma: more common in people over the age of 40, the damage is a mass or plaque, infiltration, hard, easy to hemorrhage, often formed ulcers, histopathological examination can confirm the diagnosis.

10, pseudo-wet phlegm: damage is limited to the labia minora, the fish is ovate-like reddish small papules or villous changes, the surface of the lesion is smooth, the acetic acid white test is negative, and there is no diagnostic empty cell in pathology.