Vulvar vestibular papillomatosis- Ladies check this out

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Vulvar vestibular papillomatosis- Ladies check this out

Postby sunny50 » Tue Jun 02, 2009 7:47 pm

Just decided to post this for the ladies.

Is it possible that many doctors are diagnosing the following as genital warts- mine are located in the same area and look just like this.
There is mixed info whether its hpv related but its the first time I ever heard of Vulvar vestibular papillomatosis while googling something else and finally pictures resemble what i have more.
Ive searched so many threads on this site which has been very helpful but havent seen anything this

http://www.cmaj.ca/cgi/content/full/179/8/799 - shows picture

http://content.nejm.org/cgi/content/full/358/14/1495 - shows pictures
A 34-year-old woman presented to her primary care physician with vulvar pruritus, which she reported having had for several months. A diagnosis of condyloma on the vulvae was made, and the patient was referred for treatment. Many flesh-colored, soft pearly papules, which were 1 to 2 mm in diameter, with some grouped and some discrete, were observed on the inner aspects of her labia minora. These papules were linearly distributed and symmetrically located along both inner sides of the vulvae (arrows). Grouped projections on the right inner labium minus were easily separated from each other on examination. The shiny, soft, linearly arrayed papules are the typical presentation of vestibular papillomatosis, a variant of vestibular mucosa commonly mistaken for genital warts. Clinically, genital warts, or condyloma, are not confined to the vestibule. Filiform or cauliflower projections of condyloma tend to fuse at the base. When 5% acetic acid is applied to condyloma acuminatum, a whitening typically occurs; with vestibular papillomatosis, there is usually no whitening. Vestibular papillomatosis is a normal vulvar anatomical condition that can be seen as the female counterpart of male pearly penile papules. A correct diagnosis of vestibular papillomatosis prevents unnecessary concern and laboratory tests.

Vulvar vestibular papillomatosis
top
Lesions resemble condyloma but most are HPV negative
May be normal anatomic variant
Micro: like fingers, not like stalks of condylomas



http://books.google.com/books?id=TYlZsG ... #PPA194,M1
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Re: Vulvar vestibular papillomatosis- Ladies check this out

Postby beardlust » Sat Jun 13, 2009 5:06 pm

This is really interesting... now I am thinking this might be what I actually have, because I actually thought mine looked a little "finger" like. Plus they are right in the entrance to my vagina, in a perfect line, not at all random.

Googling it isn't turning up much helpful information though, which is really frustrating. What is the treatment for this condition? Are they simply removed and then never come back? Or are they recurrent?

Please please please post more information about this!
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Re: Vulvar vestibular papillomatosis- Ladies check this out

Postby Bell » Thu Jun 18, 2009 9:28 pm

I have these... they're not that common, but are a perfectly normal variation of female anatomy. They're not related to HPV at all (source = awesome gyno and several other doctors).

They are usually or always symmetrical, meaning you would have them on both sides in a linear fashion. They're soft too.

There's no treatment because there is no need to be treated, they're perfectly normal!

I HIGHLY recommend getting a second or even third opinion if you think you have these. Go to a sexual health clinic, they see warts every day and they DO know the difference. If your normal doctor is not being satisfactory, ie. just assuming they are warts ask for a referel to a specialist.

I had always thought mine were normal, my old GP told me they were. Then I got a new GP and she said they look 'warty' but that it's unusual because they are symmetrical on both sides. She had never seen them before. So she referred me to a specialist. The specialist (gyno) said that they are totally normal and nothing to be concerned about. Meanwhile my new GP did some research on them and next time I saw her she was up to speed on the whole buisiness. She is an excellent doctor but it just goes to show that even those ones don't know EVERYTHING... so it's worth going to someone who is really specialised in diagnosing these things.

I also had low risk HPV (warts) back in 2005. Trust me, they are completely different.
Diagnosed low risk July '05.

No symptoms since September '05 - Touch wood!
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Re: Vulvar vestibular papillomatosis- Ladies check this out

Postby beardlust » Fri Jun 19, 2009 2:20 am

From the research I did, I did find some sites that said you can get them removed with TCA or laser if they are bothering you. I know it shouldn't matter... but I really hate the way they look. I am terrified the next time I get oral the guy will go "WTF IS THAT!??!" I also think they might be part of the reason I can get really swollen and sore after sex, even if I am well lubricated, because I read something about that as well.

Though I guess I shouldn't be assuming it is vestibular papillomatosis yet, since I haven't been back to my doctor yet. She is a really great doc, but just a general health practitioner, so she might have to recommend me to an actual gyno. I am hoping so hard that's what this is. The Podofilox I am using hasn't done a single thing, so I can't imagine months or years more of treatment down there. I am hoping I got lucky, even after months of emotional distress about this.

I guess I will update.
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Re: Vulvar vestibular papillomatosis- Ladies check this out

Postby nanina » Tue Apr 13, 2010 12:21 am

Thank goodness I found this forum. I was killing myself for this kind anatomical variation of my vagina.
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Re: Vulvar vestibular papillomatosis- Ladies check this out

Postby nanina » Sat May 01, 2010 1:27 am

Check out this website. I found this online with some great pics to different different kind of diagnosis:

http://www.gumnewcastle.nhs.uk/page.asp?id=1001
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