Seeing changes in your genital area can understandably cause concern. One condition that often raises questions is Vestibular Papillomatosis (VP). Although the name might sound worrying, VP is usually a normal anatomical variation of the vulval skin, not a disease. Learning about its features and management can help ease anxiety and promote confidence in your body.
What is it?
Vestibular Papillomatosis (VP) describes small, soft, skin-coloured or pink bumps on the vulva—usually along the inner labia or around the vaginal opening. They are typically symmetrical, smooth, and non-tender, representing a normal anatomical variant, not a disease.
Is Vestibular Papillomatosis an STI?
No. VP is not a sexually transmitted infection, not contagious, and not linked to sexual activity or poor hygiene. It’s simply a normal variation of vulval tissue—similar to having freckles or moles on the skin.
What Causes Vestibular Papillomatosis?
The cause isn’t fully understood. VP may relate to hormonal or developmental differences in vulval skin and mucosa. It isn’t caused by infection, poor hygiene, or sexual behaviour.
When to Seek Professional Advice:
Although VP is harmless, it’s wise to seek a professional opinion if:
- You’re unsure whether the bumps are VP or another condition (e.g., genital warts).
- There’s pain, itching, bleeding, or irritation.
- The appearance causes anxiety or distress.
- The lesions change in size, shape, or number.
Diagnosis and Support at Clarewell Clinics
Our Genital Dermatology (Lumps & Bumps) service offers in-person and online consultations. We will:
- Examine the area to confirm the diagnosis.
- Discuss your symptoms and provide reassurance.
- Rule out other possible causes.
- Offer management options if needed.
You can begin by completing our Pre-Appointment Questionnaire.
If you’re considering same-day Hyfrecation, you’ll be asked to submit photos for review and a quote.
Home Care and Management
Most people with VP do not need treatment. If the area feels uncomfortable or the appearance is bothersome:
- Reassure & Observe – Knowing VP is benign often relieves concern.
- Gentle Hygiene – Wash with mild, fragrance-free cleansers; avoid soaps, wipes, or douches.
- Avoid Irritants – Wear breathable cotton underwear; avoid tight clothing.
- Soothing Creams – A mild emollient or short course of hydrocortisone may be advised if irritation occurs.
Hyfrecation: A Closer Look
Hyfrecation (Optional Treatment)
If VP causes discomfort or significant distress, Hyfrecation can safely and effectively remove the papillae.
- Local anaesthetic (cream or injection) ensures comfort.
- Heat generated by a fine electric current precisely removes the bumps.
- Healing occurs within days with minimal scarring.
- A short follow-up may be arranged to review healing.
Living with Vestibular Papillomatosis:
For many women, VP is a regular part of their anatomy that doesn’t cause any problems. Maintaining gentle vulval care, wearing breathable fabrics, and seeking professional advice when needed can help you manage any concerns and live comfortably.
Remember, at Clarewell Clinics, we’re here to provide you with accurate information, compassionate care, and personalised treatment options. Don’t hesitate to reach out if you have any questions or concerns. You can request a follow-up discussion via the “Contact Us” page by filling out a Semble Questionnaire. Please ensure to leave a comment that this is a test submission.
