Vulvar papillae are benign, asymptomatic normal anatomic variant of the female genitalia that resembles to pearly penile papules in males. They are present in about 1% of women and can often be mistaken for warts. So, the correct diagnosis of vestibular papillae will surely prevents unnecessary concern and treatment for most women.
How Vulvar papillae look like?
Vulvar papillae are usually 1-2 mm pearly, pink, smooth, flesh-colored, filiform, round papules or tubular finger like projections that are symmetrically distributed on the inner surface of labia and vaginal introitus. Although most lesions are asymptomatic, few may complain of itching or burning sen¬sation that can interfere with their work and sexual activity.
How is it diagnosed?
Dermatologist can clinically diagnosed it easily in most cases, when in confusion your doctor may perform biopsy or perform lab tests to exclude other disease like vaginal warts.
How is Vulvar papillae treated?
As these are normal anatomical variants just like pearly penile papules in males, no treatment is necessary. When needed for cosmetic or any other reason it may be treated with cryotherapy, electrocautery and CO2 laser.
1. Welch JM, Nayagam M, Parry G, et al. What is vestibular papillomatosis? A study of its prevalence, aetiology and natural history. Br J Obstet Gynaecol1993;100:939-42.
2. Moyal-Barraco M, Leibovitch M, Orth G. Vestibular papillae of the vulva. Lack of evidence for human papillomavirus etiology. Arch Dermatol 1990;126:1594-8