instruction: hello doctor would you please take a look at the attached pictures and diagnose as the felt symptoms are rare itchiness is this hav or vestibular papillomatosis
output: hi I have seen the pictures it is vestibular papillomatosis but tell me the answers to some questions since when it is present painful or not is it also present in areas other than mentioned in the photo if it is since childhood not painful and not present anywhere else then it is vestibular papillomatosis there are many thoughts on the condition and some also believe that it can be caused by hav human papillomavirus it is a debatable issue so if you are confused with two or three opinions then you can go for biopsy for confirmatory diagnosis but as I said it is vestibular papillomatosis on the first look with symmetrical spread only on labia