Jacqueline Cope, MD

A 29-year-old female accountant is seen by you for painful lesions in the vulva. Her past medical history is notable only for the use of the hormonal contraceptive patch. She has been married for one year and denies a past history of herpes. Examination reveals two mildly tender grouped ulcerative lesions on the left labia.

A significant number of sexually active individuals will become infected with HPV at some point in their lifetimes.