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Molluscum Contagiosum

The condition is common in both adults and children and is generally harmless.

Molluscum contagiosum is a common viral skin infection that causes small, raised bumps on the skin. Although entirely benign, the appearance of these lesions can be concerning, particularly when they occur in the genital area, leading many individuals to worry about sexually transmitted infections or more serious conditions.

The condition is common in both adults and children and is generally harmless. However, because lesions can persist for many months and are easily spread through skin-to-skin contact, they often cause understandable frustration and anxiety.

What Does Molluscum Contagiosum Look Like?

Molluscum typically appears as small, smooth, dome-shaped bumps on the skin.

The lesions are usually:

  • Flesh coloured or pearly white
  • Firm and rounded
  • A few millimetres in size
  • Characterised by a small central indentation or dimple

Individuals may develop a single lesion or multiple lesions clustered together.

When present in the genital region, the appearance can sometimes be mistaken for genital warts, skin tags or other sexually transmitted infections.

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How Is Molluscum Transmitted?

The virus spreads through direct skin-to-skin contact.

Transmission may occur through:

  • Close physical contact
  • Sexual contact
  • Shared towels or personal items
  • Self-spread from one area of the body to another

In adults, lesions affecting the genital area are often acquired through intimate contact and may therefore be considered sexually associated. However, the infection itself is not exclusive to sexual transmission.

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Is Molluscum A Sexually Transmitted Infection?

Not necessarily.

Molluscum can be acquired through sexual contact, but it can also spread through non-sexual skin-to-skin contact. For this reason, it occupies a somewhat unusual position within sexual health medicine.

The presence of genital molluscum does not imply promiscuity or risky sexual behaviour and should not carry the same stigma often associated with sexually transmitted infections.

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Is Molluscum Dangerous?

No.

Molluscum contagiosum is a benign condition and is not associated with cancer, infertility or long-term health complications.

The main issues relate to cosmetic appearance, local irritation and the potential for transmission to partners or other areas of the body.

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Does Molluscum Go Away On Its Own?

In most cases, yes.

The immune system eventually recognises and clears the virus, although this process can take many months and occasionally longer.

Whilst spontaneous resolution is common, many patients seek treatment because lesions are persistent, spreading or causing embarrassment.

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What Treatments Are Available?

Treatment is not always necessary, particularly when lesions are few in number and already showing signs of resolution.

Where treatment is desired, options may include:

  • Cryotherapy (freezing)
  • Curettage (removal)
  • Topical treatments
  • Observation and monitoring

The most appropriate approach depends on the number, location and duration of lesions, as well as individual preference.

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How Is Molluscum Diagnosed?

Diagnosis is usually made clinically based on the characteristic appearance of the lesions.

In uncertain cases, specialist assessment may be helpful to distinguish molluscum from:

  • Genital warts
  • Skin tags
  • Pearly penile papules
  • Sebaceous glands
  • Other dermatological conditions

Accurate diagnosis often provides significant reassurance and helps avoid unnecessary treatment.

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Our Approach

At The Wright Practice, we provide assessment and management of genital skin lesions, including molluscum contagiosum. Our aim is to establish an accurate diagnosis, explain the natural history of the condition and discuss whether treatment is likely to offer meaningful benefit.

For many patients, reassurance and education are just as important as treatment itself, helping them understand that molluscum is a common, benign and ultimately self-limiting condition.

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Meet our team

Dr Daniel Wright
MD MRCGP MA (Hons) BA (Hons)
Dr. Susan Jain
MD MRCGP MA (Hons) BA (Hons)
Nathan Hunt
Practice Manager

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101 Harley Street, London, W1G 6AH

The Wright Practice

101 Harley Street, London, W1G 6AH, United Kingdom

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The Wright Practice
101 Harley Street, London, W1G 6AH, United Kingdom
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