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A 24-year-old woman presents to the office with complaint of bumps on her vulva. She first noticed them several months ago and feels they have grown since then. She currently feels the lesions are the size of grapes and bumpy in texture. The site is not painful, but there is discomfort and irritation when the lesions rub against her clothing. Recently, she has been avoiding intercourse because of the bumps. She has been sexually active with a new partner in the last year and they do not consistently use condoms. Her gynecologic history is significant for regular withdrawal bleeding on oral contraceptive pills with good compliance. She has seasonal allergic rhinitis and exercise-induced asthma but otherwise denies medical or surgical history. She denies medication allergies and has no contributory family history.
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