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Does Vinegar Test Detect Genital HPV Infection?

Posted on Tue, 14 Feb 2017

Question: Hi Dr i was in the shower washing last night and the soap was burning me on my pvts then i saw these. They turned white when i put Vinegre on them. Im worried it my be HPV.

Answered by Dr. Dr. Kakkar (47 minutes later)

Brief Answer:
Upload a few more good quality images

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist and venereologist). I have gone through your query and I have viewed the Images.
Vinegar test is not a specific test for Genital HPV infection. In the Images I can see 2 inflammed spots on the undersurface of penis. Vinegar application can turn an inflammed epidermis 'pale' but that does not necessarily means that it is due to HPV infection.
Moreover the Images that I see are not very suggestive of genital warts. I request you to kindly upload a few more clear and well illuminated Images so that I am able to guide you better.
Also let me know whether are you sexually active? If yes, do you have a single or more sexual partners?
When was your last sexual contact? Were you ever screened for STD's? when?

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (9 minutes later)

Hi Dr i have only one girlfriend the past 2 years. I have not had sex with her since December 6 and this just came out of nowhere. I had a herpies test years ago and it said i had HSV 1-2 but i never had and out breaks. Dr at the time did a more thourough DNA type herpies test twice and it was negative.

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
Certainly doesn't look like warts

Detailed Answer:
Thank you. I have reviewed the Images.

These skin lesions are erosions i.e breaks in the continuity of skin. They are certainly not HPV warts. In fact these erosions could very well be that of herpes genitalis which commonly presents with recurrent genital erosions.

I'd suggest you to just use a topical antibiotic cream e.g either Mupirocin 2% cream Or Fusidic acid 2% cream, twice daily for 5 days and that should be fine.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Kakkar (4 minutes later)

So you think it might be herpies?

Answered by Dr. Dr. Kakkar (23 minutes later)

Brief Answer:
Might be genital herpes

Detailed Answer:
Hi.

Yes, it might be genital herpes. Clinically this looks a more likely explanation for these genital sores, specially since you have tested positive for herpes in the past.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Kakkar (6 minutes later)

I was masterbating with anti bactierial soap i thought maybe it irritated it. Because i took 2 Herpies DNA test and they both came back negative only the generic trest was positive. Guess i must go do more blood work

Answered by Dr. Dr. Kakkar (22 minutes later)

Brief Answer:
Retest with HSV (1 and 2) DNA PCR

Detailed Answer:
Hi.

Possibly these erosions are due to trauma. However I would suggest a retest for herpes for confirmation. HSV (type 1 and 2) DNA PCR would be conclusive.

(Sample for HSV DNA PCR would be taken from these sores, NOT from blood)

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Arnab Banerjee