Mulluscum Contagiosum

General Information

Molluscum Contagiosum is a viral skin condition characterized by soft, round papular lesions (raised white bumps).  Molluscum is transmitted through direct physical contact, sexual or otherwise, with the lesions. It can also be transmitted by sharing bathing suits, linens, bath water, sex toys, and douching equipment with someone who has the lesions.   It can also be spread by scratching already existing lesions and transmitting the virus to another part of the body.  The lesions may occur alone or in groups, anywhere on the body. They are commonly found on the pubis, lower abdomen, inner thighs, chest, penis, or vulva.

Symptoms

The virus incubation period is anywhere from two weeks to two months after initial exposure.  The lesions are usually a pearly white, waxy, pimple-like bump. 

Testing

Diagnosis can generally be made from the characteristic appearance and, if needed, can be confirmed by a smear from one lesion.

Treatment

Since most lesions go away on their own within 6 to 12 months, it is often not necessary to treat them.  If you do decide upon a treatment: 

• Sexual partners and those who have had direct physical contact should also be examined by a health care provider. 
• The most common treatment involves removing the core from each papule with a sterile needle after the area has been cleaned with an antiseptic.  This procedure is usually not painful.
• Other treatments may involve cryotherapy or laser treatment, although this is only done with extensive lesions. 

Prevention

• Know the signs and symptoms and avoid contact with others who have suspicious lumps or bumps.
• Condoms can provide some protection if the lesions are present on the penis.

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