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Follow Up to 3/15 post "Still Occuring"

I am a little over 90 days post Aldara.   In the biopsy site I can feel a very small bumb, it is small but it's there.   I don't want to jump to a wart conclusion but I have going through this for years, likely two different infections, but even this time has been years as well.

I am at a loss what to do, the biopsy was high risk hpv, the site has been treated 2-3 times, the Aldara cleared a smaller wart near the biopsy site and Aldara has the lowest recurrence percentage of any treatment.

I will try to get in to see the dermatologist ASAP, but should I ask for a biopsy to confirm?  He may just want to freeze it, but I can t seem to clear the infection.  

Are there HPV experts I can go see?  I am in the greater Washington DC area.  

What do you recommend?  Thank you in advance.

2 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I should have also said that when a genital lesion has been biopsied, a scar in the forum of a skin bump can persists, often forever.  Your dermatologist will know if this is the explanation. You don't need an "HPV expert" -- and nobody specializes specifically in HPV infections.  Most dermatologist know as much about HPV as anybody else.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.

I doubt your genital bump is due to HPV.  On reviewing your previous thread, I see you tested positive for HPV. But so will 30-40% of all younger (age 15-30) sexually active persons.  And since you apparently have had a similar bump "for years", I doubt it's a wart.  It it is, imiquimod (Aldara) is not guaranteed effective.  It cures about 60-70% of genital warts.

So my guess is your genital bump is not a wart, and may not be abnormal. Almost everybody has irregularities of the skin, whether genital or anywhere else.  I agree with your plan to see a dermatologist, but I will not advise you to ask for a biopsy or anything else.  Just describe what has gone on, then let her or him evaluate it and decide what to advise.  All things considered, I don't think you have anything to worry about.

Regards--  HHH, MD
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