Noticing small bumps or growths in your genital area can understandably cause anxiety. Many people worry about sexually transmitted infections (STIs), particularly Human Papillomavirus (HPV).
However, not all bumps are caused by infection. One common and completely harmless condition that can resemble HPV warts is Vestibular Papillomatosis (VP).
At Clarewell Clinics, we aim to provide clear, evidence-based information so you can understand the difference between VP and HPV and feel confident about your health.
What is Vestibular Papillomatosis?
Vestibular Papillomatosis is a normal anatomical variant that appears as small, smooth, skin-coloured or pink bumps around the vestibule—the area just inside the vaginal opening.
Typical features include:
- Soft, finger-like papillae measuring 1–3 mm
- Arranged symmetrically or in a linear pattern
- No pain, itching, or discharge
Importantly, VP is not an infection or STI. It is not caused by HPV, and it does not spread between partners. The exact cause is unclear but likely reflects natural variation in the skin and mucosa, much like freckles or normal skin texture.
HPV and Genital Warts
Human Papillomavirus (HPV) is a common viral STI. Some HPV strains cause genital warts, which may appear as:
- Cauliflower-like growths: They may have a raised, bumpy surface that resembles a tiny cauliflower.
- Varying colours: They can be skin-coloured, white, pink, or even slightly darker.
- Single or multiple warts: They can appear as isolated warts or in clusters.
- Locations: While they can appear on the vulva, they can also be found on the cervix, vagina, penis, scrotum, or anus.
Unlike vestibular papillomatosis, HPV is contagious, spread through skin-to-skin or sexual contact.
While many HPV infections resolve naturally, others persist and cause visible warts or, in certain strains, cervical cell changes.
Key Differences: VP vs HPV Genital Warts
To summarise the key distinctions between vestibular papillomatosis vs HPV genital warts:
| Feature |
Vestibular Papillomatosis |
HPV Genital Warts |
| Cause |
Normal anatomical variant |
Sexually transmitted infection (HPV) |
| Appearance |
Small, smooth, skin-coloured/pink papules |
Cauliflower-like, bumpy growths, varying colours |
| Location |
Primarily on the vulvar vestibule |
Vulva, cervix, vagina, penis, scrotum, anus |
| Symptoms |
Asymptomatic (no itching, pain, or discomfort) |
May be itchy, painful, or cause discomfort |
| Contagious |
No |
Yes, through skin-to-skin contact |
| Treatment |
Not required, as it’s harmless |
Treatment options available to remove warts |
Diagnosis and Reassurance
Because VP and genital warts can look similar, a specialist assessment is the most reliable way to tell them apart.
At Clarewell Clinics, our Genital Dermatology (Lumps & Bumps) service provides in-person and online consultations.
During your consultation, we will:
- Take a detailed medical history.
- Perform a thorough physical examination.
- If necessary, take a sample for testing to confirm the diagnosis.
Getting a clear diagnosis helps prevent unnecessary anxiety and ensures the right management plan.
What if it is HPV?
If genital warts are diagnosed, several safe and effective treatments are available:
- Topical medications to help the body clear the warts
- Cryotherapy (freezing)
- Hyfrecation (heat-based removal, offered at Clarewell Clinics)
Most HPV infections resolve naturally over time, but regular cervical screening remains essential for women to detect any cell changes early.
When to Seek Professional Advice
Book a consultation if:
- You’re unsure whether the bumps are VP or warts
- You notice new or changing lesions
- You experience itching, pain, or bleeding
- You feel anxious or self-conscious about the area
You can begin by completing our Pre-Appointment Questionnaire.
For those considering same-day Hyfrecation, please upload clear photos for review before booking.
In Summary
- VP is harmless and non-infectious.
- HPV warts are caused by a virus but are treatable.
- A specialist examination provides clarity and peace of mind.
At Clarewell Clinics, we’re here to offer accurate information, compassionate care, and effective treatment options. If you have any concerns about genital lumps or bumps, don’t hesitate to reach out for a confidential consultation.
