Dear Doctors,
First i would like to thank you for taking your time and answering questions of concerned patients. I am sure your efforts are appreciated by many people.
My situation is as follows: I have been married for about two years. About 9 month ago i notcied something that looked like growth on my labia minora and went to an OBGYN for diagnosis. After about two month of tests she finally told me i had HPV on the labia but the cervix was clear. At the same time i noticed on the inside edge of labia minora
something that looked like change of texture on the inner surface of the labia. It changed color from pink to whitish-grey and the cell itself looks bigger with visible cell separations. It looks like a cell that has more liquid in it than usual and the walls of the cell are slightly swollen. I haven't mentioned it to the doctor, but since she looked at other warts in the area i thought that she would mention it if it was important.
Last month i noticed that the whitish cells had spread from the edge of the labia to half way up towards the clitoris and i can see some more of it in the area between labia majora and clitoris. It doesn't look like a wart, but as part of the cell itself, with a slightly lighter color. Also it has a conitnuous pattern, where the cells that are close to each other are the only ones that have the change, which is not the case in most pictures i saw of genital warts. It seems that warts don't usually have a pattern that they grow in. Last week i had an appointment with the Obgyn again to ask her about the spread of these cells and as soon as she looked at it she told it was HPV.
My questions are as follows:
1. Is it possible that this change in texture of the vulva is something other than HPV? If it is HPV, did i mess up by not treating it and letting it spread so much? What can i do to stop it from spreading and reverse it?
2. I would like to go to a doctor who specializes in HPV or at least STD's and is familiar with the way it looks, because I have spent a lot of time and money with this doctor, who doesn't seem to be very familiar with my problem. However i am not able to find anything online in the area i live in (San Diego), would you know where should i look?
3. As me and my husband have given each other oral sex, i am very concerned that we could have gotten RRP, HPV in the mouth. My husband doesn't show any symptoms. He had one little growth on the shaft of his penis a year ago that was diagnosed as something else and treated with electro cauterization. I think that i can see something on my tounge that looks like a wart and i feel like there is something in my throat when i swallow. It could be psycological of course, but i would like to show it to a specialist and am not sure if it should be a dermatologyst, a gyno or someone else. What are possible treatments for rrp and how dangerous is it?
4. I have had frequent urinary tract infections in the past year. I am wondering if it could have anything to do with the warts or HPV?
5. Finally, the gyno told me she didn't want to do another HPV test on the cervix, as it wasn't a year yet since the last time, however everywhere on the web it says repeated testing should be made within six month. Should i switch doctors and do another HPV exam or is it not necessary?