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Hi, I Have Had What Appears To Be Genital Warts

Posted on Fri, 19 Jul 2019

Question: Hi, I have had what appears to be genital warts since 1989 when I was first involved in a sexual encounter. The warts cleared then but left some pimple like swellings all round my penis. I have ignored them for so long but now am feeling uncomfortable with them especially during sex. Is there a way I can eliminate these pimples even through some cream or operation. Secondly, is it likely to turn cancerous in future?

Follow up: Dr. Dr. Monika Dede (8 minutes later)

The discomfort I have is more of esteem issues and not any pain or physical discomfort.
From pictures I have seen online ,I believe my condition is genital warts.

I want to have a penis that has no pimple like small protrusions all round the corona areas of the penis just above the penis neck.

I would prefer a gel if available that can clear the genital pimples as soon as possible.

Answered by Dr. Dr. Monika Dede (37 minutes later)

Brief Answer:
This could be HSV or HPV.

Detailed Answer:
Hello and welcome in "Ask a Doctor".
I have reviewed your query and here is my advice.

Based on your history I think this could be HSV or HPV but I need to see an attached picture of these skin lesion to define better the diagnosis.

Hope I have answered your query .
Feel free to ask me further.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Monika Dede (1 hour later)

Thank you. I am attaching the picture shortly. Please review then advise on the next step of action to address it.

Follow up: Dr. Dr. Monika Dede (3 minutes later)

I have already attached the photo. I am awaiting your feedback.

Answered by Dr. Dr. Monika Dede (38 hours later)

Brief Answer:
These seem like HPV penile infection.

Detailed Answer:
Hello and welcome back.
I am sorry for my late response.

I have seen carefully the picture and I think that these are HPV penile infection.
You should meet a dermatologist to freeze off warts.

Hope I have answered your query.
Feel free to ask me further.

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

Follow up: Dr. Dr. Monika Dede (2 hours later)

Is it possible to prescribe a medication cream without going through another consultation process?
Secondly,does the freezing off you are referring to include making them disappear to leave the penis free of the pimples.?
Finally does it mean then that I may be spreading this virus to my sexual partners all these years while assuming it’s nothing serious?

Answered by Dr. Dr. Monika Dede (2 days later)

Brief Answer:
HPV infection could be spread to the sexual partner.

Detailed Answer:
Hello and welcome in"Ask a Doctor".
I am sorry for my late response.

Usually in this situation we prescribe condylin solution to use as a local treatment but freezing off the pimples is a better procedure and may dissapear totally the pimples.
Furthermore, you should know that HPV infection could be spread to the sexual partner during a sexual intercourse if you have had these penis pimples before.

Hope I have answered your query.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Monika Dede (19 hours later)

Thanks Dr, Monike,
My final question is, how do you freeze off the pimples?

Answered by Dr. Dr. Monika Dede (30 hours later)

Brief Answer:
We use liquid nitrogen to freeze the pimples.

Detailed Answer:
Hello and welcome in"Ask a Doctor".
I am sorry for my late response.

Usually we use liquid nitrogen to freeze the pimples. This treatment is called cryotherapy or cryosurgery.

Hope I have answered your query.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Monika Dede (12 hours later)

Thank so much for the response. Now I know the options to take. Perhaps it would be good to know how long such a freezing procedure takes and if it happens under anesthesia or just a normal routine procedure that can happen in less than an hour.
That would be my final question on this.

Thanks so much for the advice. Quite valuable

Answered by Dr. Dr. Monika Dede (46 hours later)

Brief Answer:
There is no need for anesthesia.

Detailed Answer:
Hello and welcome back,
I am sorry for my late response.

You should know that there is no need for anesthesia when the warts are frozen with liquid nitrogen because you may have a mild to moderate burning.

The time of application varies by the doctor who applies the liquid nitrogen and the size of warts.
The size and thickness of warts determine the number and length of freeze cycles.

Hope I have answered your query.
Regards.

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

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