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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms And Treatment For HPV Warts?

I m a 22 yr old male and have had a lot of risky sex so I would not be surprised if these are HPV warts. However, they do not seem to be warts (or at least the types of warts you see/read about on the internet). These bumps are on the skin of my pubic area. They are mainly flat and roundish (however one or two of them looked more like a skin tag than a bump). None of them were of any significant size (all well under half an inch). So I squeezed them out. And for each bump it was the same. I would squeeze it and a solid mass would come out (sort of like a blackhead). The mass was not very hard like a pebble or tough blackhead, however it was not waxy or soft; it retained its shape if squeezed or pressed on but it was still fleshy. They were flesh colored although some had a darker hue to them. They popped out when squeezed as if they were lodged in my skin and each one was smooth and roundish (while the skin-tag looking ones were not). They would leave behind a small hole in my skin that would begin to bleed so I cleaned the areas with hydrogen peroxide and applied pressure. They are now scabbed over and healing. I do not know how long they have been hiding in my pubic hair (or how long they have not been in there). I just noticed them yesterday. However, a couple of months ago I did find one on the crease of my scrotum and inner thigh. And it did the same thing: I squeezed it, a fleshy mass came out, it bled, healed, and disappeared. I looked for it in the same area and have found nothing, so it seems these things respond to being dug out
Mon, 29 Dec 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Genital warts are caused by HPV (human papilloma virus). The virus is acquired sexually.

Treatment options are either surgical/ local ablation with electrocautery, radiofrequency cautery, CO 2 Laser Or cryotherapy.Medical treatment options are topical 20% Podophylotoxin resin and 5% Imiquimod cream.

The doctor may choose to either remove them surgically if there are just a few countable lesions Or else may choose to treat them medically if there are numerous lesions Or use a combination of medical and surgical treatment options.

I would suggest that you take another appointment with your dermatologist regarding the most appropriate method of removal.If you strongly suspect you can get a Polymerase Chain Reaction test done on the biopsy to identify the strain of HPV causing the lesion.
Thank you.
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What Are The Symptoms And Treatment For HPV Warts?

Hello, Welcome to HCM, Genital warts are caused by HPV (human papilloma virus). The virus is acquired sexually. Treatment options are either surgical/ local ablation with electrocautery, radiofrequency cautery, CO 2 Laser Or cryotherapy.Medical treatment options are topical 20% Podophylotoxin resin and 5% Imiquimod cream. The doctor may choose to either remove them surgically if there are just a few countable lesions Or else may choose to treat them medically if there are numerous lesions Or use a combination of medical and surgical treatment options. I would suggest that you take another appointment with your dermatologist regarding the most appropriate method of removal.If you strongly suspect you can get a Polymerase Chain Reaction test done on the biopsy to identify the strain of HPV causing the lesion. Thank you.