Final answer:
Fleshy papules that bleed on the vulva and anus are likely suggestive of genital warts, which are caused by certain strains of HPV and manifest as soft, pink, irregular growths.
Step-by-step explanation:
Fleshy papules on the vulva and anus that bleed might suggest genital warts. Genital warts are soft, pink, irregular growths that develop in the external genitalia or anus as a result of infection with certain strains of the human papillomavirus (HPV). These growths, known as Condylomata acuminata, are distinct from other conditions such as hemorrhoids, lichen sclerosus, and genital herpes — which typically presents with blisters rather than warts.