Small tiny "scab". Genital Wart?

[helpplease411]

Hello, this is my first post on MedHelp and am appreciate any info I can get.  I've been dating this girl for the past few months now and we have had unprotected sex.  I went to my primary doc about 2 months ago and had a full STD screen done and thankfully it came back negative.  About the same time, the girl I'm seeing said that she had an abnormal pap smear and her OBGYN said that she was positive for HPV.  I know there are no tests for men in regards to HPV.  This has made more conscious and I had noticed a small almost scab like mark on the underside of my penis.  The "scab" is tiny, about the size of 2 pin heads.  It is pink with a white outline.  However, thinking about it, it has been there for quite some time now (a little over a year) It has not grown.  My question is: Does it sound like genital wart? Do genital warts come and go away on their own?  I am wonder since it has not changed appearance or gone away for the last year.  Thanks for any help you can provide me.  

[helpplease411]

Thank you for your reply Doctor.  I know it is hard it diagnose without seeing it.  Would it help if I posted a picture?  You had mentioned about the acetowhitening technique and how it would turn white if it is a GW.  What if the small area is already white?  The area is already much lighter and looks like a tiny dot. It is not raised at all, just a small white dot.  Thank you for your help.

[Bhupinder Kaur, MD]

Hello,
It can be a skin tag, cyst or a genital wart. In 90% of cases, the body’s immune system clears HPV naturally within two years.  But, sometimes, HPV infections are not cleared and can have HPV even if years have passed since he or she had sexual contact with an infected person.

Diagnosis of genital warts is usually clinical, made by visual inspection. Genital warts can be confirmed by biopsy but Sometimes we can use an enhancing technique called acetowhitening. This technique involves the application of 5% acetic acid solution to the area of suspicion for about 5-10 minutes. Infected areas will turn white.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.