Walking in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#1102

SMLE Question #1102

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old woman, G1P0, at 26 weeks’ gestation has multiple large exophytic vulvar and perineal lesions that have slowly enlarged over 3 months. They are painless but cause discomfort with walking. Examination is limited by lesion size, with no ulceration, bleeding, or pigmentation. She requests treatment during pregnancy. What is the most appropriate management option at this time?

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