Intermittent Pruritus in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1218

SMLE Question #1218

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 24-year-old primigravida at 26 weeks’ gestation has had multiple exophytic vulvar lesions for 3 months with intermittent pruritus. Examination shows several large, cauliflower-like lesions on the labia majora and minora without ulceration or features suspicious for malignancy. She is distressed by the lesions and requests treatment during pregnancy. What is the most appropriate management at this time?

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