A Young Woman with Genital Lumps
A 20-year-old woman, Linda, attends you as her General Practitioner. For the past 2 weeks she has noticed several swellings in the genital area. These are painless, but mildly itchy. She has not noticed lumps elsewhere on her body and she has not had generalized itch. Her general health is good, she is not receiving any medication, and she has no significant past medical history. Her periods are regular, the most recent having been 1 week previously. For the past 4 months she has been in a regular relationship with a 22-year-old man who has not noticed any genital abnormalities. Condoms are almost always used for vaginal intercourse. About 7 months ago she separated from her previous partner with whom she had been in relationship for 3 years. She has had no other sexual partners.