Risks factors include:

• Exposure to human papillomavirus (HPV)
• Smoking
• Having a skin condition involving the vulva
• Lichen sclerosis, which causes the vulvar skin to become thin and itchy
• A weakened immune system (HIV, organ transplant)
• A history of precancerous conditions of the vulva

Other symptoms include:

• Watery vaginal discharge.
• Painful or frequent urination.
• Pelvic pain, especially during sex.
• Fistulas.

• Take steps to lower risk of HPV.
• Get an HPV Vaccination.
• Stop smoking.
• Drink in moderation.
• Get regular pap smears and pelvic exams.