I am HPV positive and got treated for CIN. Am I prone to VIN?

Question

Hi doctor,

Before a week, I had symptoms of itching in the vulva area. Later, two sores or ulcers appeared. One on the clitoral hood and another one on the right labia minora. It burns when I urinate. I am HPV positive, and I recently got treatment for CIN before three months. I have attached the pictures. I am concerned that my HPV is out of control and now I have a VIN. It may be a vulva precancer. Also, I have not ruled out herpes.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity). It is better to have full investigations as you already have a history of HPV (human papillomavirus) and treated for CIN (cervical intraepithelial neoplasia). When did you have your last cervical smear or visit to colposcopy clinic? It is better to have both. Have one high vaginal swab, one local hysteroscopic examination of the lesions as you might need biopsy or pus or discharge collection from the sores to check in a laboratory. It is better to have it in a infections control center by a specialist.

Have a urine analysis and urine culture as well. Collect all laboratory results and discuss here. Have strict local hygiene. Use soft, and comfortable cotton undergarments. For some time it is better to use condoms to reduce sexually transmitted disease, and it is better to avoid forceful penetrative sex. Use only water for cleaning the affected area. Avoid using cosmetics or any other products. After the collection of all investigations and examinations, you can have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg eight hourly for 14 days.