Does pseudowarts cause itching?

May 30, 2025 Source: Cainiu Health
Disease description:

Small bumps resembling fish eggs have appeared on both sides of the genital area; they are not painful but occasionally cause mild itching, and become more noticeable when there is increased vaginal discharge. Is this a case of pseudowarts (pseudoverrucosis)? Is treatment necessary?

Doctor's answer (1)
Dr. Liu Wenmin

In general, pseudocondyloma acuminatum may cause itching, but the likelihood is relatively low.

Pseudocondyloma is not caused by a virus and is not contagious. It typically appears around the vulva, vaginal opening, or urethral opening in women, presenting as small, smooth or slightly raised skin-colored or white papules of varying sizes. These lesions generally do not coalesce into large patches. Therefore, most patients do not experience significant subjective symptoms, although a minority may feel mild itching due to local irritation, such as from vaginal inflammatory secretions.

Although pseudocondyloma acuminatum is not contagious and does not require specific treatment, if patients feel concerned about its presence or experience other symptoms such as pain or bleeding, it is recommended to seek medical advice promptly. Under a physician's guidance, appropriate anti-itch medications or physical treatments such as laser therapy or cryotherapy may be used to relieve symptoms and promote lesion resolution.

In daily life, it is advisable to maintain genital hygiene and avoid adverse irritations to help reduce itching.