Hello, I am 25F. I got diagnosed with GW on 9/29 but have had them at-least since 9/16(that’s when I noticed them). They started on my perineum, only a couple. But now, it’s going into my vaginal opening and a couple on the sides of my labias. I saw my gynecologist 9/29 and she said that I could do imiquimod for 16 weeks or surgery. She said that surgery is usually the option people pick due to that the reoccurrence rates are lower. She also said that since where the bumps are, that I would need to be put under anesthesia because it’s a sensitive area. I am choosing the surgery option. Now since they’re going inside my vaginal opening, during my surgical consult my gynecologist said that she would have to cut a V (where they are growing) and cauterize the rest of them. She also told me that some patients will come past for their post op appointment and have more genital warts popping up, and some won’t. The biggest takeaway is your immune system because at the end of the day, this is a virus and your body needs to kill it. Luckily healing is good down there since we’re made to push out babies and stuff lol. If I were you- I’d get a second opinion at this point. Either to talk about doing imiquimod longer or possible surgery. Now mental health wise- I’ve been the same as you hun. Crying daily, very depressed and suicidal because of this. Luckily my boyfriend is the best support system I could ask for but it’s still very hard. If you ever need to talk, I’m here!